Observational studyJournal of orthopaedic surgery and research2026
Does dual-plating offer superior stability in complex distal femoral fracture management?
Observational study in Journal of orthopaedic surgery and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
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
backgroundDistal femoral fractures (DFF) present significant challenges in orthopedic surgery because of their complex biomechanical environment and limited bone stock for fixation. Dual plating (DP), involving the application of both lateral and medial plates, has emerged as a promising alternative to enhance construct stability. We hypothesize that distal femoral DP improves union rates and functional outcomes in patients with complex or non-united DFFs.
methodsThis prospective observational study was conducted on 30 cases with DFF who had either complex primary fixation or developed nonunion. Patients were monitored and followed up at regular intervals postoperatively (2 weeks, 6 weeks, 3 months, 6 months, and 12 months). Functional recovery was assessed using the Neer scoring system.
resultsThe range of motion (ROM) ranged from 70 to 100° with a mean ± SD of 90.17 ± 10.3°. The majority of patients (66.67%) achieved an excellent outcome, and 20% had a good result. Only a small proportion had fair (6.67%) or poor (6.67%) outcomes. There were no cases of malunion or nonunion. However, delayed union and infection were each reported in 3 patients (10%). Patients with excellent outcomes were significantly younger (mean age 24.9 years) and had a lower BMI (24.31 kg/m²) compared to those with poorer outcomes, who were older (≥ 55 years) and had higher BMIs (≥ 28.7 kg/m²).
conclusionsDistal femur dual plating is a viable salvage option for complex primary fixation of complex distal femur fractures. Good to excellent outcomes can be achieved with a low complication rate especially in patients with normal BMI and younger than 55 years of age.
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.