The development of a reliable, valid, and responsive rating scale would have value not only in assessing patient outcomes but also in reporting the results of clinical studies in foot and ankle surgery.
Four cases of failure of distal femoral Less Invasive Stabilization System plates are reported. Two modes of failure were observed: in 2 cases, the Less Invasive Stabilization System plates broke, and in 2 cases, the plates gradually displaced from the femur as the shaft screws lost purchase in the diaphyseal femoral cortex. Delayed union/nonunion, early weight bearing, and improper plate placement were identified as the etiologies for plate failure.
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