ArticleCureus2025
The Role of Adjunctive Medial Plating in Distal Femur Fractures and Distal Femur Fractures Nonunions.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Dual vs. single plating in distal femoral fractures: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2025Pooled it
- Does dual-plating offer superior stability in complex distal femoral fracture management?Journal of orthopaedic surgery and research · 2026Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere exists controversy in the treatment of acute distal femur fractures as well as distal femur fracture nonunions. The objective of this study is to determine the clinical benefit of adjunctive medial plate application in the setting of acute distal femur fractures and distal femur fracture nonunions.
methodsThis is a retrospective comparative study at a Level 1 academic trauma center, including 104 patients treated for acute distal femur fractures and 23 patients treated for distal femur nonunions between 2015 and 2019. The study compared dual plate fixation to other methods of fixation.
resultsIn the acute fracture setting, the dual-plate construct had a shorter time to union (22.1 weeks vs. 29.5 weeks, p=0.1337) and a better union rate (100% vs. 73.6%, p=0.1848), though neither were statistically significant. Complication rates between dual plating and single lateral plating were similar (20% dual plate vs. 14.3% single lateral plate, p=0.7245). For femoral nonunions, both treatment groups achieved a 100% union rate. The time to union was slightly longer in patients treated with an adjunctive medial plate (35 weeks vs. 31 weeks, p=0.6207). However, medial adjunctive plating had a lower complication rate (0% vs. 26.7%, p=0.1081). Conclusion: Dual plating plays a valuable role in the management of acute distal femur fractures, as well as in the adjunctive medial plating of distal femur nonunions treated with a lateral plate construct. This approach is especially beneficial for cases with inadequate medial cortical support or a high risk of varus collapse.
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Registered trials
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