ArticleInternational orthopaedics2018
Lateral locked plating for distal femur fractures by low-energy trauma: what makes a difference in healing?
Article in International orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Cost-effectiveness of fixation versus arthroplasty for geriatric distal femur fractures.Injury · 2022Pooled it
- Incidence of nonunion after surgery of distal femoral fractures using contemporary fixation device: a meta-analysis.Archives of orthopaedic and trauma surgery · 2021Pooled it
- Fixation of periprosthetic or osteoporotic distal femoral fractures with locking plates: a pilot randomised controlled trial.International orthopaedics · 2019Trial
- Treatment of AO/OTA type 43-C3 pilon fractures with a combination of miniplate and main plate: a retrospective analysis.BMC surgery · 2025Article
- The Role of Adjunctive Medial Plating in Distal Femur Fractures and Distal Femur Fractures Nonunions.Cureus · 2025Article
- Distal femur fractures: basic science and international perspectives.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Using a Traction Table for Fracture Reduction during Minimally Invasive Plate Osteosynthesis (MIPO) of Distal Femoral Fractures Provides Anatomical Alignment.Journal of clinical medicine · 2023Article
- Efficacy of Recombinant Human Parathyroid Hormone versus Vertebral Augmentation Procedure on Patients with Acute Osteoporotic Vertebral Compression Fracture.Orthopaedic surgery · 2022Article
- Machine Learning and Regression Analysis to Model the Length of Hospital Stay in Patients with Femur Fracture.Bioengineering (Basel, Switzerland) · 2022Article
- Lean Six Sigma Approach for Reducing Length of Hospital Stay for Patients with Femur Fracture in a University Hospital.International journal of environmental research and public health · 2021Article
- Immediate Full Weight-Bearing Versus Partial Weight-Bearing After Plate Fixation of Distal Femur Fractures in Elderly Patients. A Randomized Controlled Trial.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Functional outcome of open distal femoral fractures managed with lateral locking plates.International orthopaedics · 2020Observational
- Circular external fixation as definitive treatment for open or comminuted femoral fractures: Radiologic and functional outcomes.Journal of clinical orthopaedics and trauma · 2019Article
- Outcomes of distal femur fractures treated with the Synthes 4.5 mm VA-LCP Curved Condylar Plate.International orthopaedics · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe objective of this study is to investigate healing outcome of lateral locked plating for distal femoral fractures caused by low-energy trauma. In addition, we sought to determine predictable factors associated with fracture healing time.
methodsSeventy-three patients (73 fractures) with distal femur fractures (AO/OTA type 33) caused by low-energy trauma were recruited. The mean age of patients was 69.8 years (range, 43-87 years). All fractures were stabilized by less invasive osteosynthesis with anatomical periarticular locking system. Patients were followed up for mean 17.3 months (range, 6-44 months).
resultsOf the 73 fractures, 52 (71.2%) fractures showed bony union within 6 months after the index surgery while the remaining 21 (28.8%) fractures showed delayed union or received revision surgery prior to complete healing. Although overall healing rate from the initial surgery was 93.2% (68/73), which seems to be satisfactory, the rate of surgical complications was 11.0% (8/73). Of all 73 fractures, seven received further surgery including three re-osteosynthesis. On multivariable analysis, plate-screw density at the fracture site was an independent predictable factor associated with the problematic healing.
conclusionsOur findings suggest that complications related to increased healing time and fixation construct are not infrequent and ongoing problems in managing low-energy distal femur fractures. Specifically, plate-screw density at the fracture site has a significant influence on healing time in these fractures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.