ArticleArchives of orthopaedic and trauma surgery2025
Effect of age, sex, height, ethnicity, and femoral bowing on the anatomical fitting of the LCP distal femur plate.
Article in Archives of orthopaedic and trauma surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLateral locking-plate fixation is commonly used for distal femur fractures. Pre-contoured plates attempt to match the bony anatomy of the target patient population. However, plate fit is highly variable due to inter-subject morphological differences. If plate misfit is not recognised and addressed, axial malalignment may arise. This study evaluates the effects of age, sex, height, ethnicity, and femoral bowing on the anatomical fit of a distal femur plate.
methodsUnilateral 3D models of 80 (40 male, 40 female) Caucasian and 79 (34 male, 45 female) Vietnamese femora were utilised. Both cohorts consisted of young (< 65 years) and old (≥ 65 years) subjects, with 40 young and 40 old Caucasian, and 36 young and 43 old Vietnamese. The plate undersurfaces of 9-, 11- and 13-hole LCP Distal Femur plate 3D models were positioned on bone models and anatomical fitting was assessed through application of developed clinical criteria.
resultsSatisfactory plate conformity was achieved from plate head up to hole 6, with most measurement locations fitting 52-100% of bones from both ethnicities. There was tendency towards proximal plate misfit from hole 8 onwards with 0-41% fit achieved in this region, and mean distances of 11.6 mm and 16.3 mm being observed at the proximal plate tip for Caucasians and Vietnamese respectively (p ≤ 0.017). Patient sex, height, ethnicity, and femoral bowing all had significant impacts on fit, while the effect of age was limited. Sex and ethnicity related height differences would suggest that patient height and femoral bowing are the main variables affecting fit.
conclusionsThe observed proximal plate misfit for both Caucasians and Vietnamese suggests LCP Distal Femur plates may exhibit less anatomical conformity than generally assumed. Where plates are used as a reduction tool, pre-operative templating of the intact contralateral femur may help identify plate misfit.
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.