Dual plating for fixation failure of the distal femur: Finite element analysis and a clinical series

Jitprapaikulsarn, Surasak; Chantarapanich, Nattapon; Gromprasit, Arthit; Mahaisavariya, Chantas; Sukha, Kritsada; Chiawchan, Suwichote

doi:10.1016/j.medengphy.2022.103926

Cited by 5 publications

(3 citation statements)

References 30 publications

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“…Double plate fixation of the distal femur is initiated to enhance mechanical stability of the construct in high-risk situations. These include (A) different internal fixation methods such as lateral locking compression plate of the distal femur combined with medial reconstruction plate, and (B) lateral application of proximal humerus locking compression plate combined with medial reconstruction plate, and also demonstrate the equivalent effect of the two in distal femoral fractures ( 30 – 32 ). In addition, Wright et al ( 33 ) compared four different internal fixation methods: (1) lateral distal femoral locking plate (DLFLP), (2) retrograde intramedullary nail (rIMN), (3) DLFLP + medial locking compression plate (double-plate construct), and (4) DLFLP + rIMN (plate-nail construct), and concluded that the double-plate device had a stronger fixation effect by biomechanical means.…”

Section: Discussionmentioning

confidence: 99%

“…Double plate fixation of the distal femur is initiated to enhance mechanical stability of the construct in high-risk situations. These include (A) different internal fixation methods such as lateral locking compression plate of the distal femur combined with medial reconstruction plate, and (B) lateral application of proximal humerus locking compression plate combined with medial reconstruction plate, and also demonstrate the equivalent effect of the two in distal femoral fractures (30)(31)(32). Biomechanical differences between the BCFS fixation group and LCP + LRP fixation group in the fixation of AO/OTA type A3 distal femoral fractures…”

Section: Discussion Internal Fixation Methods For Type A3 Fractures O...mentioning

confidence: 99%

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Biomechanical analysis of bridge combined fixation system as a novel treatment for the fixation of type A3 distal femoral fractures

Liu,

Huang,

et al. 2023

Front. Surg.

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BackgroundTo compare the biomechanical parameters of AO/OTA type A3 distal femoral fractures fixed bilaterally with a bridge combined fixation system (BCFS) and lateral locking compression plate + locking reconstruction plate (LCP + LRP).MethodsTwelve A3 distal femoral fracture models with medial cortical defects of the distal femur were created using synthetic femoral Sawbones. BCFS and LCP + LRP were used for bilateral fixation, with six in each group. Axial compression and torsion tests were performed on the two groups of fracture models to determine their stiffness during axial compression and the Torsional stiffness during torsion tests. Axial compression failure tests were performed to collect the vertical loads of the ultimate failure tests.ResultsIn the test conducted on the fixed type A3 distal femoral fracture models, the axial stiffness in the BCFS group (group A) (1,072.61 ± 113.5 N/mm) was not significantly different from that in the LCP + LRP group (group B) (1,184.13 ± 110.24 N/mm) (t = 1.726, P = 0.115), the Torsional stiffness in group A (3.73 ± 0.12 N.m/deg) was higher than that in group B (3.37 ± 0.04 N.m/deg) (t = 6.825, P < 0.001),and the ultimate failure test of type A3 fracture model showed that the vertical load to destroy group A fixation (5,290.45 ± 109.63 N) was higher than that for group B (3,978.43 ± 17.1 N) (t = 23.28, P < 0.05). Notably, intertrochanteric fractures occurred in groups A and B.ConclusionsIn the fixation of type A3 distal femoral fractures, the anti-axial compression of the BCFS group was similar to that of the LCP + LRP group, but the anti-torsion was better.

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Section: Discussionmentioning

confidence: 99%

“…Double plate fixation of the distal femur is initiated to enhance mechanical stability of the construct in high-risk situations. These include (A) different internal fixation methods such as lateral locking compression plate of the distal femur combined with medial reconstruction plate, and (B) lateral application of proximal humerus locking compression plate combined with medial reconstruction plate, and also demonstrate the equivalent effect of the two in distal femoral fractures (30)(31)(32). Biomechanical differences between the BCFS fixation group and LCP + LRP fixation group in the fixation of AO/OTA type A3 distal femoral fractures…”

Section: Discussion Internal Fixation Methods For Type A3 Fractures O...mentioning

confidence: 99%

Biomechanical analysis of bridge combined fixation system as a novel treatment for the fixation of type A3 distal femoral fractures

Liu,

Huang,

et al. 2023

Front. Surg.

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“…On the day of admission of the patient the triangular external fixator placement is done. 9 For the soft tissue traction the external fixation is proved to be very advantageous and feasible. But the different complications are also associated with the external fixation such as pin tract infection and non-union.…”

Section: Introductionmentioning

confidence: 99%

Functional Outcome of Distal Third Tibia Fractures Treated with Minimally Invasive Plate Osteosynthesis

Kashmir¹,

Ashraf²,

Zia³

et al. 2023

PJMHS

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Background: As the highest number of complications are associated with the distal tibia fracture it is one of the most challenging condition to treat. Minimally invasive plate osteosynthesis techniques are more feasible. As the disappointing results were obtained from the traditional techniques therefore this method was gradually evolved. Study design: It is a prospective study conducted in Pakistan Railway General Hospital, Rawalpindi for the duration of one year from January 2022 to December 2022. Material and Methods: The study comprised of 49 patients who fulfilled the inclusion criteria. Among 49 patients there were 23 males and 26 female patients. The patients that were not fulfilling the inclusion criteria were excluded from the study. Results: 40% of the patients had problem in the right leg and 60% had it in their left side. There were 24 patients that reported about fibula plating the remaining 52% had no fibula plating experienced. The mean time of surgery was 7 days ranging from 3 to 8 days. Based on the classification of fracture, 72% patients were included in the 43A category and 43B included 28% patients. Conclusion: For distal tibia fractures, minimally invasive plate osteosynthesis has better radiological and functional outcomes and is quite better than other treatment methods. The invasive method can cure these fractures with fewer complications and in a short union time. Keywords: distal tibia fractures and soft tissue.

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Nonvascularized fibular graft with locking screw fixation for metaphyseal bone loss of distal femur: biomechanical assessment validated by a clinical case series

Jitprapaikulsarn,

Chantarapanich,

Gromprasit

et al. 2023

Eur J Orthop Surg Traumatol

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Dual plating for fixation failure of the distal femur: Finite element analysis and a clinical series

Cited by 5 publications

References 30 publications

Biomechanical analysis of bridge combined fixation system as a novel treatment for the fixation of type A3 distal femoral fractures

Biomechanical analysis of bridge combined fixation system as a novel treatment for the fixation of type A3 distal femoral fractures

Functional Outcome of Distal Third Tibia Fractures Treated with Minimally Invasive Plate Osteosynthesis

Nonvascularized fibular graft with locking screw fixation for metaphyseal bone loss of distal femur: biomechanical assessment validated by a clinical case series

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