ReviewIndian journal of orthopaedics2022
Dual-Plating in Distal Femur Fracture: A Systematic Review and Limited Meta-analysis.
Review in Indian journal of orthopaedics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 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
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 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
- Integrated Study of the Distal Femur Biphasic Plate: Exploring In Vivo, In Vitro, and In Silico Methodologies.Annals of biomedical engineering · 2026Article
- Comparison of nail-plate and double-plate fixation in primary and periprosthetic distal femur fractures in older adults.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Does dual-plating offer superior stability in complex distal femoral fracture management?Journal of orthopaedic surgery and research · 2026Observational
- Nail-Plate Combination Fixation for Periprosthetic Distal Femoral Fractures Allows Early Weight-Bearing With Low Reoperation and Revision Rates.The Journal of arthroplasty · 2026Article
- Current Concepts in the Treatment of Distal Femur Fractures in Adults.Revista brasileira de ortopedia · 2026Article
- [Current Concepts in the Treatment of Distal Femur Fractures in Adults].Revista brasileira de ortopedia · 2026Article
- Article
- Revision Surgery After Failed Fixation of Periprosthetic Distal Femur Fractures: Nail-Plate Combination Versus Double Plating.Medicina (Kaunas, Lithuania) · 2026Article
- Finite element analysis, biomechanics, and clinical advantages of percutaneous medial column screw reinforced locking plate in the treatment of complex distal femoral fractures.Bone & joint research · 2026Article
- Comparative study of double and single plate fixation for distal femur fractures.Bioinformation · 2026Article
- Article
- Preliminary retrospective analysis of combined retrograde tibial intramedullary nail and lateral less invasive stabilization system for distal femoral fractures.The Journal of international medical research · 2025Article
- The Influence of Fracture Defect Size on Treatment Outcomes in Distal Femur Fractures: A Comparative Study Between Lateral Locking Plate and Double Plate Fixation.Orthopaedic surgery · 2025Article
- Review
- Temporal and regional trends of fractures in the United States: A review of the global burden of disease database.Journal of orthopaedics · 2025Article
- 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
- Double plating and iliac crest bone graft can safely fix femoral shaft nonunion.Scientific reports · 2024Article
- 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
- Comparative study of retrograde intramedullary nailing versus locking extramedullary plating in complete articular fractures with metaphyseal comminution of the distal femur.Archives of orthopaedic and trauma surgery · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAlthough lateral locking plate has shown promising results in distal femur fracture, there are high rates of varus collapse and implant failure in comminuted metaphyseal and articular fractures. This systematic review evaluates the functional outcomes and complications of dual plating in the distal femur fracture. MATERIALS AND
methodsManual and electronic search of databases (PubMed, Medline Embase and Cochrane Central Register of Controlled Trials) was performed to retrieve studies on dual plate fixation in the distal femur fracture. Of the retrieved 925 articles, 12 were included after screening.
resultsThere were one randomized-controlled, four prospective and seven retrospective studies. A total of 287 patients with 292 knees were evaluated (dual plating 213, single plating 76, lost to follow-up 3). The nonunion and delayed union rates following dual plate fixations were up to 12.5% and 33.3%, respectively. The mean healing time ranged from 11 weeks to 18 months. Good to excellent outcome was observed in 55-75% patients. There was no difference between the single plate and dual plate fixation with regards to the functional outcomes (VAS score, Neer Score and Kolmert's standard) and complications. Pooled analysis of the studies revealed a longer surgical duration (MD - 16.84, 95% CI - 25.34, - 8.35,
conclusionDual plating leads to a satisfactory union in the comminuted metaphyseal and articular fractures of the distal femur. There is no difference between the single plate and dual plate with regards to nonunion rate, blood loss, functional outcomes and complications. However, dual fixation leads to faster fracture healing at the cost of a longer surgical duration.
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What OpenQuestion holds
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.