ArticleThe Journal of arthroplasty2026
Nail-Plate Combination Fixation for Periprosthetic Distal Femoral Fractures Allows Early Weight-Bearing With Low Reoperation and Revision Rates.
Article in The Journal of arthroplasty, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled 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.
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
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Periprosthetic Fractures After Total Knee Arthroplasty-A Two-Center Study and Systematic Review of the Literature.Medicina (Kaunas, Lithuania) · 2026Pooled it
- Intentional valgus alignment correction using metaphyseal comminution as a "natural osteotomy" during dual-plate fixation for AO/OTA 33-C3 distal femoral fractures with medial knee osteoarthritis: a preliminary feasibility series.International orthopaedics · 2026Article
- Outcomes of Periprosthetic Distal Femur Fractures by Fixation Construct: A Retrospective Cohort Study.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundA combination retrograde femoral intramedullary nail (IMN) and locking plate for periprosthetic distal femoral fractures (PDFFs) may offer improved construct strength and early weight-bearing versus locked plating constructs or IMN fixation. This study compared clinical and radiographic outcomes in PDFF treatment with nail-plate combination (NPC), locked plating, or IMN.
methodsPatients aged ≥ 18 years undergoing PDFF surgery between January 1, 2015, and April 1, 2024, at three institutions were retrospectively identified. Patients were included with NPC, locked plate only (i.e., single-plate, dual-plate, or triple-plate), or isolated IMN. There were 78 patients who had 79 PDFFs (Orthopaedic Trauma Association/Arbeitsgemeinschaft für Osteosynthesefragen 33A-C) (Su and Associates' Classification types I = 38, II = 27, and III = 14). The median age was 79 years (range, 41 to 95), and 77.2% were women. Constructs included 42 locking plates (53.2%), 24 NPCs (30.4%), and 13 isolated IMNs (16.4%). The locking plate cohort included 21 single plates (50.0%), 17 dual plates (40.5%), and four triple plates (9.5%). The mean follow-up was 18.0 months (range, 0.2 to 104.3).
resultsPostoperatively, 79.2% of patients who were treated with NPC were immediately weight-bearing as tolerated versus 40.0% of all other constructs (P < 0.001). There were no significant differences between subgroups of fixation in terms of 2-year survivorship free of all-cause unplanned reoperation (NPC 91.0%, single implant constructs 85.0%, all dual or triple plates 76.0%, single plate construct 78.0%, and all plate constructs 77.0%, P > 0.05).
conclusionsNail-plate combination for PDFFs was associated with low reoperation and revision rates. These constructs may provide an advantage of earlier weight-bearing in PDFF patients versus other constructs without compromising union.
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.