Dual Plating of the Distal Femur: Indications and Surgical Techniques

Arnab Sain; Vijay Sharma; Kamran Farooque; Muthukumaran V; Kirubakaran Pattabiraman

doi:10.7759/cureus.6483

Dual Plating of the Distal Femur: Indications and Surgical Techniques

Cureus. 2019 Dec 27;11(12):e6483. doi: 10.7759/cureus.6483.

Authors

Arnab Sain¹, Vijay Sharma¹, Kamran Farooque¹, Muthukumaran V¹, Kirubakaran Pattabiraman¹

Affiliation

¹ Orthopaedics, All India Institute of Medical Sciences, New Delhi, IND.

Abstract

Dual-plating of the distal femur is required in some cases to achieve stable fixation. The indications of a medial plate in addition to the lateral plate are medial supracondylar bone loss, low trans-condylar bicondylar fractures, medial Hoffa fracture, peri-prosthetic distal femur fractures, non-union after failed fixation with single lateral plate, poor bone quality and comminuted distal femur fractures (AO type C3). We recommend orthogonal plate configuration with locked plates by a single incision or dual incision approach as per surgeon choice.

Keywords: distal femur; dual-plating; medial plate fixation.

Publication types

Review