Lieder CM, Gaski GE, Virkus WW, et al. - A retrospective cohort study was performed to compare early complications in elderly individuals with extra-articular distal femur fractures (DFFs) allowed to weight-bear as tolerated immediately vs patients prescribed initial touchdown weight-bearing. Researchers recruited a total of 135 patients 60 years or older who had undergone surgical fixation of an extra-articular DFF, including the OTA/AO fracture classification of 33-A1-3, and periprosthetic fractures with a stable knee prosthesis (Lewis and Rorabeck type I or II) with at least 6 months follow-up. This research suggests allowing carefully selected elderly individuals, based on surgeon preference, to immediately weight-bear after operative fixation of an extra-articular DFF regardless of implant choice.