ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
Modified use of the proximal humeral internal locking system (PHILOS) plate for distal femoral nonunions.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 9 citations in OpenAlex.
- Risk factors for failure of distal femoral nonunion repair.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Medial augmentation of distal femur fractures using the contralateral distal femur locking plate: A technical note.OTA international : the open access journal of orthopaedic trauma · 2024Article
- Outcome of Osteosynthesis of Late-Presenting Proximal Humerus Non-union: A Case Series.Journal of orthopaedic case reports · 2024Article
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Authors and funding
2 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeNonunion is a common complication after a distal femoral fracture (DFF). Standard treatment consists of revision plating and/or bone grafting. Single lateral plating for a distal femoral nonunion can be insufficient in case of a persistent medial gap and compromised bone stock. Alternatively, dual plating can be used to treat a distal femoral nonunion, but to date there is no Gold standard. The aim of our study was to report our results after use of a minimally invasively placed proximal humeral internal locking system (Philos) plate as a medial buttress in the treatment of a distal femoral nonunion.
methodsFifteen adult patients with a distal femoral nonunion were prospectively entered in a trauma database and retrospectively assessed. All patients underwent a similar operation, which included removal of failed hardware, nonunion debridement, fixation with a lateral plate, and a medial Philos plate combined with bone grafting. Data collected included union rate, time to union, complications and functional outcome.
resultsIn twelve out of fifteen patients (80%), the fracture united after our index operation. Median time to union was 4.8 months (range 1.6-15). Three patients (20%) needed additional bone grafting surgery. One patient underwent a Judet quadricepsplasty.
conclusionThis study suggests that the Philos plate is a safe and effective adjunct as a medial buttress plate for distal femoral nonunions.
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