Th e problems here are
1. Osteoporotic bone 2. Short distal fragment 3. Inappropriate plate
My options
Would include a supra condylar plate augmented with locking plate.below is a comparable bilateral case in an 89 year old. The displacement in the coronal and saggital axis can be easily controlled by the intra medullary devise and augmented by the locking plate done by a mis technique.
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