Treatment of Distal Femur Fractures Using the Less Invasive Stabilization System

Abstract

Treatment of distal femur fractures with the LISS is associated with high union rates without autogenous bone grafting (93%), a low incidence of infection (3%), and maintenance of distal femoral fixation (100%). No loss of fixation in the distal femoral condyles was observed despite the treatment of 30 patients older than 65 years. The LISS is an acceptable surgical option for treatment of distal femoral fractures.

Fractures of the Distal Tibia Treated with Polyaxial Locking Plating

“…Currently, locking plate osteosynthesis has become widely accepted for treatment of periarticular fractures [1,3,9,14,16,17,24,27]. For relatively smaller distal tibia fracture fragments, especially with an average distance of 11 mm from the distal extent of the fracture to the tibial plafond in the current series, a monoaxial locking plate with fixedtrajectory locking screws sometimes may not provide anticipated fixation for the distal fragment [13,20].…”

Implant Material and Design Alter Construct Stiffness in Distal Femur Locking Plate Fixation: A Pilot Study

“…During the past decade, retrograde intramedullary devices [20] as well as new generations of distal femur locked plating systems [9] have facilitated the operative treatment of these fractures. Clinically, locked plating systems are an established alternative to intramedullary nails [9,12,22]. However, 0% to 23% of patients will experience healing complications such as delayed union, hardware failures, and/or nonunion [10,13].…”

Surgical management of distal end femoral fractures in adults with locking compression plate

“…Further when it is applied via a minimally invasive technique, it allows for prompt healing, lower rates of infection and reduced bone resorption as blood supply is preserved [9] . Internal fixation with locking plates creates a toggle free, fixed angle construct [10] . The introduction of plates with the option of locked screws has provided the means to increase the rigidity of fixation in osteoporotic bone or in the presence of periarticular or juxtaarticular fractures with a small epiphyseal segment [10] .…”

“…Internal fixation with locking plates creates a toggle free, fixed angle construct [10] . The introduction of plates with the option of locked screws has provided the means to increase the rigidity of fixation in osteoporotic bone or in the presence of periarticular or juxtaarticular fractures with a small epiphyseal segment [10] . The implant offers multiple points of fixed-angle contact between the plate and screws in the distal part of femur, theoretically reducing the tendency for varus collapse that is seen with traditional lateral plates [10] .…”

“…The introduction of plates with the option of locked screws has provided the means to increase the rigidity of fixation in osteoporotic bone or in the presence of periarticular or juxtaarticular fractures with a small epiphyseal segment [10] . The implant offers multiple points of fixed-angle contact between the plate and screws in the distal part of femur, theoretically reducing the tendency for varus collapse that is seen with traditional lateral plates [10] . Since there have been no published studies focusing specifically on the LCP condylar plate, this study will help us in defining the role of locking compression plate in the treatment of distal femur fractures.…”