ArticleScientific reports2025
The impact of medial-first dual plating for reduction of distal femoral fractures: a retrospective comparative cohort study.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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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.
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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.
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Who cites it
1 citing paper 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
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In dual-plate fixation of distal femoral fractures (DFF), reducing the relatively spared medial side first and using this metaphyseal-medial condylar segment as a template to reduce the lateral side may effectively facilitate reduction. This study evaluated the effectiveness of the medial-first dual-plate fixation in DFF. A retrospective study was conducted on 77 patients who underwent open reduction and internal fixation (ORIF) for DFF at a single institution between April 2012 and 2021. The patients were divided into a group in which medial-side ORIF was first performed followed by a lateral-ORIF (group M) and a lateral-ORIF only performed (group L). The demographic data, fracture classification, clinical outcomes, including operative time, estimated blood loss, complications, patient satisfaction, and pain level, and radiographic outcomes of the two groups were compared. There was no difference in the demographics or fracture classification between group M (n = 27) and group L (n = 50). The operative time was similar in the two groups. Group M had a significantly smaller articular gap, better union rate, shorter time to union, and stronger maintenance of coronal and sagittal alignment (P < 0.05). There were no significant differences in estimated blood loss, complications, reoperation rate, patient satisfaction, or pain level between the two groups. Medial-first dual-plate fixation showed better radiographic and comparable clinical results compared to lateral single-plate fixation in treating DFF. Medial-first dual-plate fixation facilitates the reduction and is believed to increase the reduction quality.
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