Biphasic plating improves the mechanical performance of locked plating for distal femur fractures

Epari, Devakara R.; Gurung, Roshan; Hofmann‐Fliri, Ladina; Schwyn, Ronald; Schuetz, Michael; Windolf, Markus

doi:10.1016/j.jbiomech.2020.110192

Cited by 21 publications

(6 citation statements)

References 29 publications

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“…A decision on whether an additional medial plate should be added must be made during the operation. Double plating is proven to be stronger than a single lateral plate in biomechanical testing; however, it is not superior to traditional lateral plating with respect to clinical outcomes [ 8 – 10 ]. In our patient, we decided not to add a medial plate for the following reasons: the single lateral locking plate was strong enough to maintain sufficient stability to allow functionality after treatment; further, the double-plate technique is associated with a risk of delayed union or nonunion due to extensive soft-tissue dissection and periosteal injury, even when performed by skilled surgeons; finally, when the overall structure is balanced and stable, lateral-only locked plates can reduce surgical time, blood loss, and limit soft-tissue stripping.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive plate osteosynthesis for complex comminuted bone fractures in the Fraser’s type II floating knee: a case report

et al. 2022

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Objective Floating knee type IIC, according to Fraser’s classification, is an uncommon severe injury that typically occurs in polytrauma. In such cases, intra-articular fracture and the high degree of comminution and deformity of the mid-distal femur make fixation challenging. The purpose of this study was to demonstrate that minimally invasive plate osteosynthesis (MIPO) technology can simplify these complex problems and improve patient prognosis. Case presentation A 38-year-old man injured his left leg in a car accident, causing pain, swelling, deformity, and limited mobility on his left knee and thigh, and two small open wounds were noted mainly of the anterior aspect of the mid-distal thigh. Physical examination and computed tomography angiography of the lower limb confirmed that there was no damage to the neurovascular system. The clinical diagnosis was closed intra-articular fracture of the proximal tibia, open intra-articular fracture of the distal femur with extension to the diaphysis, and a patellar fracture on the ipsilateral knee. The treatment strategy involved a locking plate system applying MIPO technology. Postoperative evaluation of the patient was satisfactory, with immediate functional exercise, full weight-bearing after three months, and return to daily activity without pain. Final follow-up taken 3 years after surgery showed good lower limb alignment and complete plasticity of the bone structure, by which time the patient showed good limb function. Conclusions Minimally invasive techniques can provide a simple and effective treatment for some complex fractures.

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Section: Discussionmentioning

confidence: 99%

Minimally invasive plate osteosynthesis for complex comminuted bone fractures in the Fraser’s type II floating knee: a case report

et al. 2022

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“…Supracondylar femur fractures are serious injuries that might be difficult to repair surgically [5]. Distal femur fractures account for about 3%-6% of all femur fractures and 1% of all fractures [6,7]. Because of the distal femur's unusual architecture and closeness to the knee joint, surgical healing of these fractures is difficult.…”

Section: Fractures Of Femurmentioning

confidence: 99%

Effect of Physiotherapy on a Rare Case of Malunion of Femur and Patellar Fracture in a 43-Year-Old Male: A Case Report

Bagga,

Patil,

Jagzape

2023

Cureus

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The hip is a ball-and-socket joint surrounded by strong and well-balanced muscles that allow for a wide range of motion in many physical planes. Iliofemoral, ischiofemoral, and pubofemoral are the three major ligaments of the hip joint that provide stability to the joint. Supracondylar femoral fractures are common in old age and can be caused in young people due to accidents or traumatic causes. These types of fractures are complicated to fix surgically due to different architectural designs. If not treated appropriately, these can cause malunion or non-union of the joint. The knee joint is a synovial joint of the hinge type. It has two major degrees of movement, which are flexion and extension. However, rotation in both the medial and lateral directions is possible to some extent in the joint. Patellar fractures can be transverse, vertical, comminuted, marginal, or osteochondral. In this case report, we present a 43-year-old male patient who had a history of falling from a bike. He was diagnosed with a comminuted supracondylar fracture of the left femur and a comminuted fracture of the patella on the left side on an X-ray. For this, he was managed with open reduction, internal fixation, and vacuum-assisted closure (VAC). Physiotherapy rehabilitation was programmed to attain a good and fast recovery for the patient to make him functionally independent and improve his quality of life.

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“…Comparative studies of BP with distal femoral LCP (DF-LCP) revealed BP providing more consistent interfragmentary movement over a wider loading range and adequate flexibility and implant strength. [15]…”

Section: Biphasic Platementioning

confidence: 99%

Plate Osteosynthesis

Dharmshaktu,

Agarwal

et al. 2022

Journal of the Uttaranchal Orthopaedic Association

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Plate osteosynthesis involves open reduction and internal fixation of fractures with plate application abiding various principles of fixation. The conventional plates currently in widespread use are dynamic compression plate, tubular pates, and locking compression plates. There have always been modifications and advancements in implant development and the plates have also undergone various updates. Many of these developments are in vogue but many are in their primary stages. The newer technical developments and newer implants enrich the surgical armamentarium and address a critical issue in their usage and application. As part of the continuous professional development, working knowledge of key recent advances and new implant development is important for a relevant orthopedic practice.

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Biphasic plating improves the mechanical performance of locked plating for distal femur fractures

Cited by 21 publications

References 29 publications

Minimally invasive plate osteosynthesis for complex comminuted bone fractures in the Fraser’s type II floating knee: a case report

Minimally invasive plate osteosynthesis for complex comminuted bone fractures in the Fraser’s type II floating knee: a case report

Effect of Physiotherapy on a Rare Case of Malunion of Femur and Patellar Fracture in a 43-Year-Old Male: A Case Report

Plate Osteosynthesis

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