ReviewEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023
The geriatric distal femur fracture: nail, plate or both?
Review 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 12 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
12 citing papers in PubMed, 28 citations in OpenAlex.
- Open reduction and internal fixation versus distal femoral replacement for periprosthetic distal femur fractures: a systematic review and meta-analysis.OTA international : the open access journal of orthopaedic trauma · 2026Article
- Anterior clamp-assisted reduction for retrograde nailing of infra-isthmic femoral fractures: technique and preliminary results on a short case series.Trauma case reports · 2026Article
- Revision Surgery After Failed Fixation of Periprosthetic Distal Femur Fractures: Nail-Plate Combination Versus Double Plating.Medicina (Kaunas, Lithuania) · 2026Article
- Effects of Schanz screw location on reduction efficiency in distal femur fractures: A finite element analysis.Joint diseases and related surgery · 2026Article
- Proximal and Distal Femoral Fracture. A Longitudinal Retrospective Survival Analysis.Geriatric orthopaedic surgery & rehabilitation · 2026Article
- Nail plate construct in complex distal femur fractures allow safe, early unrestricted weight bearing with high rates of union and a low rate of failure: five-year experience at a UK major trauma centre.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Enhanced accuracy and reduced complications: robot-assisted navigation for retrograde intramedullary nailing in distal femoral fractures.International orthopaedics · 2025Article
- Comparison of treatment results of femoral shaft fracture with two methods of intramedullary nail (IMN) and plate.BMC surgery · 2024Article
- Titanium Cable Cerclage Increases the Load to Failure in Plate Osteosynthesis for Distal Femoral Fractures.Medicina (Kaunas, Lithuania) · 2024Article
- Determination of the ideal plate for medial femoral condyle fracture fixation: an anatomical fit and biomechanical study.BMC musculoskeletal disorders · 2024Article
- Outcomes of Distal Third Femur Fractures in Patients 18 Years and Older: A Pilot Study.Cureus · 2024Article
- The linked nail/plate construct for the management of distal femur fractures in the elderly.SICOT-J · 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
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Surgical fixation of distal femur fractures in geriatric patients is an evolving topic. Unlike hip fractures, treatment strategies for distal femur fractures are ill-defined and lack substantive high-quality evidence. With an increasing incidence and an association with significant morbidity and mortality, it is essential to understand existing treatment options and their supporting evidence. Current fixation methods include the use of either retrograde intramedullary nails, or plate and screw constructs. Due to the variability in fracture patterns, the unique anatomy of the distal femur, and the presence or absence or pre-existing implants, decision-making as to which method to use can be challenging. Recent literature has sought to describe the advantages and disadvantages of each, however, there is currently no consensus on a standard of care, and little randomized evidence is available that directly compares intramedullary nails with plating. Future randomized studies comparing intramedullary nails with plating constructs are necessary in order to develop a standard of care based on injury characteristics.
Indexed as
Identifiers
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.