SynthesisArchives of orthopaedic and trauma surgery2022
Biomechanical and anatomical considerations for dual plating of distal femur fractures: a systematic literature review.
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 25 papers.
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Who cites it
25 citing papers in PubMed.
- Integrated Study of the Distal Femur Biphasic Plate: Exploring In Vivo, In Vitro, and In Silico Methodologies.Annals of biomedical engineering · 2026Article
- Article
- Does dual-plating offer superior stability in complex distal femoral fracture management?Journal of orthopaedic surgery and research · 2026Observational
- Smoking, medial comminution, and single fixation as predictors of failure in the fixation of native distal femur fractures: a multicenter retrospective study over 109 fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Comparative study of double and single plate fixation for distal femur fractures.Bioinformation · 2026Article
- Article
- Risk factors for failure of distal femoral nonunion repair.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Step-by-step reduction utilizing a one-third tubular plate in surgery for distal femur fracture with severe metaphyseal comminution: A case report.Trauma case reports · 2025Article
- The impact of medial-first dual plating for reduction of distal femoral fractures: a retrospective comparative cohort study.Scientific reports · 2025Article
- Retrograde Intramedullary Nailing vs. Lateral Locking Plate Fixation for Distal Femur Fractures: Which Technique is Superior?Orthopedic reviews · 2025Article
- The Impact of Metabolic Syndrome on 30-Day Outcomes in Geriatric Distal Femur Fracture Surgeries.The Iowa orthopaedic journal · 2025Article
- Dual Construct for Very Low Periprosthetic Distal Femur Fracture-Case Series and Extensile Medial Parapatellar Single Incision Approach.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Double plating and iliac crest bone graft can safely fix femoral shaft nonunion.Scientific reports · 2024Article
- Femoral component retention in Rorabeck type III periprosthetic knee fracture with plating fixation and bone cement augmentation. A new surgical technique and four cases reported.Trauma case reports · 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
- Meta-analysis of the clinical efficacy and safety of single versus dual plate in the treatment of comminuted distal femur fractures.EFORT open reviews · 2024Article
- Determination of the ideal plate for medial femoral condyle fracture fixation: an anatomical fit and biomechanical study.BMC musculoskeletal disorders · 2024Article
- Distal femur fractures: basic science and international perspectives.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Surgical management and weight-bearing recommendations for geriatric distal femur fractures.OTA international : the open access journal of orthopaedic trauma · 2024Article
- 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
Corrections and comments
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Authors and funding
6 authors.
Funding
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Abstract
introductionDistal femur fractures are challenging injuries historically associated with high rates of nonunion and varus collapse with operative management. As a result, clinical and research interest in dual plating (DP) of distal femur fractures has seen a dramatic increase in recent years. The purpose of this study was to systematically review the literature regarding vascular anatomy and biomechanics of distal femur fractures treated with DP constructs. MATERIALS AND
methodsA systematic literature review of two medical databases (PubMed & Scopus) was performed to identify peer-reviewed studies on the anatomy and biomechanics regarding DP of distal femur fractures. A total of 1,001 papers were evaluated and 14 papers met inclusion criteria (6 anatomy and 8 biomechanics). Methodological quality scores were used to assess quality and potential bias in the included studies.
resultsIn the biomechanical studies, DP constructs demonstrated greater axial and rotational stiffness, as well as less displacement and fewer incidences of failure compared to all other constructs. Vascular studies showed that the femoral artery crosses the mid-shaft femur approximately 16.0-18.8 cm proximal to the adductor tubercle and it is located on average 16.6-31.1 mm from the femoral shaft at this location, suggesting that medial plate application can be achieved safely in the distal femur. The methodological quality of the included studies was good for biomechanical studies (Traa score 79.1; range 53-92.5) and excellent for anatomical studies (QUACs score 81.9; range 69.0-88.5).
conclusionsExisting biomechanics literature suggests that DP constructs are mechanically stronger than other constructs commonly used in the treatment of distal femur fractures. Furthermore, medial distal femoral anatomy allows for safe application of DP constructs, even in a minimally invasive fashion. Dual plating should be considered for patients with distal femur fractures that have risk factors for instability, varus collapse, or nonunion.
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