Double-plating of comminuted, unstable fractures of the distal part of the femur.

Sanders, Richard A.; Swiontkowski, Marc F.; Rosen, Howard; Helfet, D. L.

doi:10.2106/00004623-199173030-00004

Cited by 212 publications

(154 citation statements)

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“…significant bone comminution, and serious soft tissue injury. 3,4 Locking compression plate is the integration of compression plating, locked plating and bridge plating, causing minimal soft tissue damage and periosteal vessels are preserved. Hence it functions like a closed external fixator.…”

Section: Introductionmentioning

confidence: 99%

Management of distal femur fractures with locking compression plate: a prospective study

Konuganti

Jakinapally

Rao³

et al. 2018

Int J Res Orthop

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Background: Distal femur fractures need to be treated operatively to achieve optimal outcomes. Different types of internal fixation devices have been used but, the number of revisions for non-union, loss of reduction and implant failure has been high.Methods: This prospective study reviewed 20 cases of distal femoral fractures surgically managed with distal femoral locking compression plate between December 2013 and December 2015 at Mediciti Institute of medical sciences, Ghanpur, Medchal, tertiary care referral and trauma centre. Fractures were categorized according to OTA classification by Muller.Results: Highest number of patients was in their 3rd decade (25%) 18 out of 20 patients had closed injury. Type A2 Muller’s fracture was the most common fracture type 7 out of 20 patients (35%).The mean follow up period in this study was 8 months. The average range of knee flexion achieved was about 109°. The mean score 81.75 points were rated using Neer’s functional score (Max 100). Conclusions: The locking compression plate is the treatment of choice in the management of comminuted distal femoral fractures especially Type A fractures where we have found higher Neer scores. It may not completely solve the age-old problems associated with any fracture like non-union and malunion, but is valuable in the management of these fractures.

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Section: Introductionmentioning

confidence: 99%

Management of distal femur fractures with locking compression plate: a prospective study

Konuganti

Jakinapally

Rao³

et al. 2018

Int J Res Orthop

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“…However, specific injury characteristics such as extensive periosteal stripping, metaphyseal comminution, and bone loss may render the lone lateral implant inadequate for the duration required to achieve union [14]. Dual plating of distal femur fractures with a lateral plate and a medial plate has been used to improve fracture alignment and stabilization when a single plate has not been adequate [13,19].…”

Section: Introductionmentioning

confidence: 99%

Addition of a Medial Locking Plate to an In Situ Lateral Locking Plate Results in Healing of Distal Femoral Nonunions

Holzman¹,

Hanus

Munz³

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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“…Следует отметить, что в современной науч-ной литературе имеются лишь единичные пу-бликации, посвященные разработке методик остеосинтеза, способных обеспечить медиаль-ную стабильность при переломах дистального отдела бедренной кости [16][17][18]. Недостаток сведений о сравнительной эффективности фик-сации многооскольчатых переломов только латеральной или двумя пластинами послужил основанием для проведения собственного экс-периментального исследования.…”

Section: Discussionunclassified

“…Так, еще в 1991 г. R. Sanders с соавторами предложили установку медиальной пластины из традиционного широ-кого медиального доступа. Однако этот способ остеосинтеза не нашел широкого применения из-за большой травматичности и риска по-вреждения магистральных сосудов бедра [18]. Описания же случаев клинического использо-вания малоинвазивного остеосинтеза бедрен-ной кости медиальной пластиной в научной ли-тературе нам найти не удалось.…”

Section: материал и методыunclassified

Experimental and Theoretical Validation of Double Column Internal Fixation Theory for Distal Femoral Fractures

Беленький¹,

Sergeev²,

Майоров³

et al. 2017

Traumatology and Orthopedics of Russia

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Purpose of the study – to experimentally compare efficiency of lateral and bilateral (lateral and medial) plate fixation of distal femoral fractures and to validate the appropriateness of double column theory of distal femur anatomy for internal fixation for these fractures.Material and methods. The authors performed a biomechanical study in two series on polyurethane models of right femur corresponding in dimensions to natural femur. After simulating a 33 C2 fracture type it was fixed by one lateral plate or two (lateral and medial) plates. After fixation the models were tested in six load ranges with maximal load from 20 to 120 kgf in cyclic mode.Results. The authors obtained a significant difference in absolute values of fragments displacement amplitude depending on fixation method. In the first series of the experiment – one plate fixed on the lateral surface of the femur – under minimal load the displacement value was reported as0.3 mm and under maximal load —1.9 mm; in the second series of experiment – two plates fixed on the lateral and medial surfaces of the femur – displacement values were reported as0.35 mm and0.95 mm respectively. Conclusion. The presence or absence of medial support after internal fixation has a profound impact on ensuring stability in cases of comminuted fractures of distal femoral fractures. In this context the use of double column theory of distal femur anatomy for internal fixation can significantly improve the treatment outcomes for such patients. After trials of minimally invasive fixation method on anatomical specimen the described theory can be implemented into the clinical practice.

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Double-plating of comminuted, unstable fractures of the distal part of the femur.

Cited by 212 publications

References 0 publications

Management of distal femur fractures with locking compression plate: a prospective study

Management of distal femur fractures with locking compression plate: a prospective study

Addition of a Medial Locking Plate to an In Situ Lateral Locking Plate Results in Healing of Distal Femoral Nonunions

Experimental and Theoretical Validation of Double Column Internal Fixation Theory for Distal Femoral Fractures

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