ArticleArchives of orthopaedic and trauma surgery2021
Excellent outcomes after double-locked plating in very low periprosthetic distal femoral fractures.
Article in Archives of orthopaedic and trauma surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 4 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Periprosthetic Fractures After Total Knee Arthroplasty-A Two-Center Study and Systematic Review of the Literature.Medicina (Kaunas, Lithuania) · 2026Pooled it
- Biomechanical and anatomical considerations for dual plating of distal femur fractures: a systematic literature review.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Union rates and functional outcome of double plating of the femur: systematic review of the literature.Archives of orthopaedic and trauma surgery · 2022Pooled it
- Early complications and reoperation rates are similar amongst open reduction internal fixation, intramedullary nail, and distal femoral replacement for periprosthetic distal femur fractures: a systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2021Pooled it
- No cost difference between single or dual implants for distal femur fractures in the perioperative period.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Immediate full weight-bearing, reduced perioperative morbidity and mortality after surgery in the treatment of distal femur fractures using a standard lateral plate plus a helical moulded medial plate ostheosynthesis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Dual Construct for Very Low Periprosthetic Distal Femur Fracture-Case Series and Extensile Medial Parapatellar Single Incision Approach.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Retrograde intramedullary nail fixation with oblique fixed angle screws versus locking plates in periprosthetic supracondylar fractures after total knee arthroplasty.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Dual Plating for Periprosthetic Distal Femoral Fractures Using the Extensile Medial or Lateral Parapatellar Approach.Arthroplasty today · 2024Article
- Weight-bearing Guidelines for Common Geriatric Upper and Lower Extremity Fractures.Current osteoporosis reports · 2023Review
- Biomechanical analysis of bridge combined fixation system as a novel treatment for the fixation of type A3 distal femoral fractures.Frontiers in surgery · 2023Article
- Comparison of locking compression plate and distal femoral replacement for periprosthetic distal femoral fractures: a retrospective study.The Journal of international medical research · 2022Article
- Periprosthetic knee fractures in an elderly population: open reduction and internal fixation vs distal femur megaprostheses.Orthopedic reviews · 2022Article
- [Current status and progress of locking plate in the treatment of distal femoral comminuted fracture].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVery low periprosthetic distal femur fractures (PPDFFs) are rare injuries and often have a relatively high failure rate after single lateral locked plating. The double plating technique yields good outcomes in osteoporotic fractures of the distal femur. To date, there is limited information on double-locked plate fixation of very low PPDFFs. This study aimed to evaluate the outcomes and complications of surgically treated very low PPDFFs using double-locked plate fixation. MATERIALS AND
methodsBetween January 2013 and December 2018, sixty-one consecutive patients with PPDFFs have been conducted. Only Su type III PPDFFs with double-locked plate fixation through a lateral minimally invasive approach and a medial subvastus approach to the distal femur were analyzed. Patients were encouraged to perform straight leg raising exercises and active knee motion on the second postoperative day. Assisted weight bearing from the early postoperative days was supported, and full weight-bearing was allowed after healing the fracture site. All patients were evaluated according to the time to union, limb alignment, range of knee motion, Knee Society Score, and presence of complications.
resultsTwenty one patients (17 females and 4 males, mean age 76 years, range 56-90) were included in the study. There were 10 of 33-A1, 6 of 33-A2 and 5 of 33 A3 fractures, according to the AO classification. Of 21 patients, 20 achieved union at an average of 14 weeks postoperatively. Postoperative limb alignment was satisfactory in all cases, with an average mechanical distal lateral femur angle of 89° and average mechanical posterior distal femur angle of 86°. All patients recovered the knee joint motion similar to that of the contralateral side, and daily life pre-injury. The average knee and function scores were 94 and 89, respectively. There were one case of non-union and three cases of superficial wound infection, which resolved after intravenous antibiotic therapy.
conclusionsDouble locked plating showed excellent radiographic and functional outcomes with few complications in patients with very low PPDFFs. Based on these promising results, we propose the consideration of double-locked plate fixation in the treatment of very low PPDFFs.
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