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The objective of this literature review is to compare the efficacy and outcomes of three primary techniques-plating, nailing, and the nailing-plating combination-in the repair of complex distal femur fractures. The review will particularly focus on the nailing-plating combination technique, evaluating its potential advantages as a more novel approach, especially in patients with osteoporosis and those with prosthetic implants, where enhanced stability and reduced complication rates are critical.

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