Fractures of the distal end of the femur continue to present a challenge to orthopedic surgeons. Successful management requires a thorough knowledge of the regional anatomy, a comprehensive clinical and radiographic evaluation, an understanding of the "personality" of the fracture, and selection of the appropriate device. Nonsurgical and surgical treatment options exist, but the majority of supracondylar and intercondylar femur fractures are managed surgically. Several surgical options are available for fixation of distal femur fractures, including the fixed-angle blade plate, dynamic condylar screw and sideplate, condylar buttress plate, intramedullary nail, and external fixator. Considering that patient characteristics differ considerably, and fracture patterns, energy imparted, and soft tissue integrity vary, protocols for treatment for each patient must be individualized.