Far Cortical Locking Versus Standard Constructs for Distal Femur Fractures

Specific inclusion criteria: * Men or women ages 18 years or older * Displaced distal femur fracture (OTA 33A or 33C) as seen in radiographs * Planned treatment using a distal femur locking plate * Ability to read and speak English or availability of translator willing to assist with completion of study forms * Fractures \< 14 days post injury * Provision of informed consent Specific exclusion criteria: * Open distal femur fracture requiring flap or vascular repair (grade 3b or 3c) * Planned fixation strategy includes interfragmentary lag fixation of non-articular fractures * Active local infection * Limited life expectancy due to significant medical co-morbidity or medical contraindication to surgery * Inability to comply with rehabilitation or form completion * Likely problems, in the judgment of the investigators, with maintaining follow-up (i.e. patients with no fixed address, patients not mentally competent to give consent, etc.) * Non-ambulatory patients * Lack of bone substance or poor bone quality which, in the surgeon's judgment, makes locked plate fixation impossible * Periprosthetic fractures * Any concomitant lower-extremity injury that requires non-weight-bearing beyond 6 weeks post-operative * Addition of bone graft, bone graft substitute or BMP * Pregnant women