Lateral and Anterior Plating of Intra-articular Distal Femoral Fractures Treated Via an Anterior Approach

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2002 Dec 6

PMID 12466871

Citations 14

Authors

B H Ziran

R H Rohde

A R Wharton

Affiliations

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Abstract

Thirty-five patients with 36 displaced distal femoral fractures (16 AO-type C2 and 19 AO-type C3) were treated with an anterior approach and double plating and followed for an average of 7 (3-44) months. Bone grafting with allograft and demineralized bone matrix was used. Postoperative therapy included immediate ROM and non-weight bearing for 12 weeks. Two patients died during hospitalization and one was lost to follow-up. Reductions were near anatomic in all but three patients. Uneventful healing by 16 weeks occurred in 24/36 fractures. Double plating via the anterolateral approach minimized stripping of the medial side and improved controlled access to the distal femur.

Citing Articles

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Double plating via anterolateral and posterolateral approach for distal femoral fracture.

Yamakawa Y, Masada Y, Okuda R, Matsumoto T, Uehara T, Yorimitsu M Trauma Case Rep. 2023; 44:100803.

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Double fixation for complex distal femoral fractures.

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Dual-Plating in Distal Femur Fracture: A Systematic Review and Limited Meta-analysis.

Tripathy S, Mishra N, Varghese P, Panigrahi S, Purudappa P, Goel A Indian J Orthop. 2022; 56(2):183-207.

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Fractures of the distal femur in elderly patients: retrospective analysis of a case series treated with single or double plate.

Nam D, Kim M, Kim T, Kim M, Kweon S J Orthop Surg Res. 2022; 17(1):55.

PMID: 35093125 PMC: 8800239. DOI: 10.1186/s13018-022-02944-6.