Which surgery restores mobility best after a knee fracture?

This study looks at two surgical options for fractures of the lower thigh bone near the knee: open reduction internal fixation (ORIF), which uses plates and screws, and distal femur replacement (DFR), which replaces the damaged bone with an artificial joint. The trial enrolls adults 55 and older with these fractures, including those with a previous knee replacement. Researchers will compare how well patients recover by measuring mobility with a timed walking test and knee function using a patient questionnaire. The goal is to find out which approach leads to better recovery and fewer complications.