Distal femoral fractures thigh up from 4 to 9% of all fractures of the femur. There is a direct relationship between the mechanism of receipt of the lesion and the age, sex and the type of fracture. Caused mainly by high-traumatic effects and lead to a high degree of disability. For these reasons, injuries in this anatomical area are of great social importance. The goal of the distal femur fractures treatment is to recover patients preoperative status for the shortest possible period. This may be achieved by open reposition and internal fixation. Recent years are characterized by significant progress in the treatment of this type of fracture. This is due to the rapid development of new and sound biomechanical implants: 95 ° Angled blade plates (ABP), condylar buttress plates (CBP), dynamic condylar screw (DCS), retrograde intramedullary nails (two locking or a locking screw + spiral blade), LISS-plates. The discussion in the treatment of these fractures is concentrated in the choice of means of internal fixation by which to achieve the greater stability of the individual type of fracture.