SynthesisArchives of orthopaedic and trauma surgery2022
Union rates and functional outcome of double plating of the femur: systematic review of the literature.
Synthesis in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.
- Dual vs. single plating in distal femoral fractures: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Reconstruction with megaprosthesis for recurrent nonunion of an atypical periprosthetic femoral fracture in an elderly patient.Journal of surgical case reports · 2026Article
- [Research progress on medial support augmentation techniques for proximal humeral fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Review
- Does dual-plating offer superior stability in complex distal femoral fracture management?Journal of orthopaedic surgery and research · 2026Observational
- Fractures Around the Knee-Significant Achievements During the Past 25 Years and Major Questions to Be Solved.Journal of clinical medicine · 2026Review
- [Biphasic plate-Controlled instability in fracture healing].Unfallchirurgie (Heidelberg, Germany) · 2025Review
- Article
- [Sensor-based monitoring of fracture healing].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Intramedullary Nailing vs. Plate Fixation for Trochanteric Femoral Fractures: A Systematic Review and Meta-Analysis of Randomized Trials.Journal of clinical medicine · 2025Review
- Application of the LEG NUI score to assess revision success in established distal femur non-unions.Journal of orthopaedics · 2025Article
- Open reduction, internal fixation of Vancouver B1, C & D type periprosthetic femoral fractures with use of an antiglide plate at fracture apex - The "Apex Plate".Trauma case reports · 2025Article
- Retrograde Intramedullary Nailing vs. Lateral Locking Plate Fixation for Distal Femur Fractures: Which Technique is Superior?Orthopedic reviews · 2025Article
- Comparative Study of Exchange Nailing and Augmentative Plating for Treating Aseptic Nonunion of Femoral Shafts Post Intramedullary Nailing: A Single-Blind, Multicentric Randomized Clinical Trial.Journal of clinical medicine · 2024Article
- Dual Plating for Periprosthetic Distal Femoral Fractures Using the Extensile Medial or Lateral Parapatellar Approach.Arthroplasty today · 2024Article
- Postoperative early weight-bearing using double plating for periprosthetic, interprosthetic, and interimplant distal femur fractures following total knee arthroplasty: A report of three cases.Trauma case reports · 2024Article
- Risk of reverse golf club deformity with medial plating of distal femur fracture.Archives of orthopaedic and trauma surgery · 2024Article
- Article
- Nonvascularized fibular graft with locking screw fixation for metaphyseal bone loss of distal femur: biomechanical assessment validated by a clinical case series.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Early Full Weight-Bearing Exercises to Improve Gait Function in Older Adult Patients Following Surgery for Distal Femoral Fractures.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Predictors of nonunion for transverse femoral shaft fractures treated with intramedullary nailing: a SIGN database study.OTA international : the open access journal of orthopaedic trauma · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe optimal treatment strategy for the surgical management of femur fractures and non-unions remains unknown. The aim of this study is to assess union rates, complications and outcome after femoral double plating. Treatment of shaft, distal, periprosthetic fractures and pathological proximal femur fractures as well as femoral non-unions with double plating were evaluated.
methodsA systematic review according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement was conducted. Published literature reporting on the treatment and clinical outcome of femoral fractures and non-unions with double plating was identified. In total, 24 studies with 436 cases of double plating, 64 cases of single plating, 84 cases of intramedullary nailing (IM), and 1 interfragmentary screw treatment met the inclusion criteria of this systematic review. The evaluated literature was published between 1991 and 2020.
resultsDouble plating of femoral fractures achieved high healing rates and few complications were reported. It displayed significantly less intraoperative haemorrhage, shorter surgery time reduced risk of malunion in polytraumatised patients when compared to IM. Fracture healing rate of double-plating distal femoral fractures was 88.0%. However, there were no significant differences regarding fracture healing, complication or functional outcome when compared to single plating. Treatment of periprosthetic fractures with double plating displayed high healing rates (88.5%). Double plating of non-unions achieved excellent osseous union rates (98.5%).
conclusionsThe literature provides evidence for superior outcomes when using double plating in distal femoral fractures, periprosthetic fractures and femoral non-unions. Some evidence suggests that the use of double plating of femoral fractures in polytraumatised patients may be beneficial over other types of fracture fixation. LEVEL OF EVIDENCE: IV.
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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.