Evidence map›Paper›PMID 40432644›Full record

ArticleCureus2025

Surgical and Functional Outcomes of Distal Femur Fractures Operated With Distal Femur Locking Compression Plate Versus Intramedullary Supracondylar Nail.

Manish R Shah, Shyamal V Dave, Ankur Dahiya, Richenkumar R Shah, Shubham Nagar, Kunj R Patel

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Manish R ShahOrthopaedics, Sumandeep Vidyapeeth Deemed to be University, Vadodara, IND.
Shyamal V DaveOrthopaedics and Traumatology, Dhiraj Hospital, Vadodara, IND.
Ankur DahiyaOrthopaedics and Traumatology, Sumandeep Vidyapeeth Deemed to be University, Vadodara, IND.
Richenkumar R ShahOrthopaedics and Traumatology, Sumandeep Vidyapeeth Deemed to be University, Vadodara, IND.
Shubham NagarOrthopaedics, Smt. B. K. Shah Medical Institute & Research Centre, Vadodara, IND.
Kunj R PatelOrthopaedics, Smt. B. K. Shah Medical Institute & Research Centre, Vadodara, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Distal femur fractures are common but challenging as they are usually displaced and comminuted. They are prone to functional impairment of the knee joint because of injury to the quadriceps system. Such fracture often occurs in elderly patients with osteoporosis. Various treatment methods, such as closed traction, application of a cast brace following preliminary traction, and open reduction with internal fixation using various implants, are suggested. We evaluated the surgical and functional results of distal femur fractures treated with anatomical distal femur locking compression plate (DFLCP) versus intramedullary supracondylar nail (IMSCN). Materials and methods The study was conducted from April 2023 to August 2024. We included 20 patients with distal femur fractures, who were planned to be operated on with DFLCP or IMSCN. They were followed up for at least six months. Surgical and functional outcomes were analyzed as per the Schatzker and Lambert criteria. Results DFLCP was preferred for inter-condylar (intra-articular) distal femur fractures. The average blood loss for the DFLCP group was 425 ml, and for the IMSCN group, it was 242.85 ml. The functional outcomes were comparable for both groups. The average union time for the DFLCP group was 8.15 months, and for the IMSCN group, it was 7.15 months. We analyzed the results by the Schatzker and Lambert criteria. We achieved 46% and 42.85% excellent results in plate v/s nail groups, respectively. Conclusions DFCLP is a better implant for inter-condylar, i.e., intra-articular and highly comminuted distal femur fractures. It gives anatomic and stable fixation. The average intraoperative blood loss is higher with DFLCP. The average union time is less with the IMSCN. Closed reduction, preserving fracture hematoma, and less soft tissue compromise result in early fracture union in IMSCN. Soft tissue compromise in open grade 3B fractures affects the functional outcomes. The final results do not change with the use of DFCLP or IMSCN.

Indexed as

complex distal femur fracturedflcpdistal femur fractureimscninter-condylar femur fracturesupra-condylar femur nailing

Identifiers

PMID40432644
PMCPMC12107678

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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.