Submuscular plating of the femur through an anterior approach after bone distraction

Abstract

The method of osteogenesis by distraction is a known technique in orthopaedics for the management of bone defects secondary to trauma, infections or tumours. New strategies have been developed for decreasing the external fixator time. The use of the minimally invasive plate osteosynthesis technique is a secure approach through a percutaneous fixation technique in the anterior aspect of the femur that permits minimal dissection of the soft tissues while preventing cross-contamination with the pin tracts of the external fixators. The goal of this article is to show that a new surgical technique, to preserve the benefits related to the internal fixation and at the same time decrease the risk of infection, can be used to perform femoral plating after bone distraction with a low contact plate through an anterior approach to the femur while still taking adequate care of the soft tissues.

Plating after lengthening in treating phalangeal and metacarpal deficiency: An alternative method

“…Researchers have applied the PAL method for tibia or femur lengthening cases and received good results, and the PAL method was first attempted in thumb lengthening by Bodmer et al [7] in 2017. [19][20][21][22][23] Functions and appearance of the thumbs were partially reconstructed, although the study included only five patients and four of five of their FT was less than two years. [7] In this study, 11 phalanges and nine metacarpals were included and the minimum FT was 30 months to confirm the advantages of the PAL method.…”