Supracondylar femur fractures are common fractures that represent a management challenge. Despite consistent fracture patterns and predictable challenges associated with reduction and stabilization, complications, including malunion, nonunion, and implant failure, can occur in patients who undergo treatment for the management of a supracondylar femur fracture. Although improvements in intramedullary nailing techniques, the emergence of biologically friendly surgical techniques, and the introduction of locked plating constructs have revolutionized orthopaedic fracture care, the surgical management of supracondylar femur fractures has improved minimally.