Distal femur fractures can occur in both high- or low-energy settings, and, in the latter, they are often associated with fragility fractures, such as in elderly or osteoporotic patients. In fragility fractures, poor bone quality can make adequate reduction challenging. Diagnosis is typically made with imaging, and obtaining both x-ray and computed tomography is crucial for adequate evaluation of fracture pattern and pre-procedural planning. In this case, a displaced intra-articular distal femoral fracture was seen. An open reduction and internal fixation (ORIF) was used with an anterolateral approach to visualize the joint surface and obtain anatomic reduction of the articular surface. Then, a lateral lock plate was placed percutaneously to bridge the area of comminution while restoring leg length, alignment, and rotation.