Medial augmentation of distal femur fractures using the contralateral distal femur locking plate: A technical note.
| Autor: | Leal JA; Department of Orthopedic and Traumatology, Hospital Universitario de la Samaritana and Hospital Universitario Mayor de Méderi, Bogotá, Colombia. |
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| Jazyk: | angličtina |
| Zdroj: | OTA international : the open access journal of orthopaedic trauma [OTA Int] 2024 Sep 03; Vol. 7 (3), pp. e347. Date of Electronic Publication: 2024 Sep 03 (Print Publication: 2024). |
| DOI: | 10.1097/OI9.0000000000000347 |
| Abstrakt: | Introduction: Lateral locking plates are commonly employed for the fixation of distal femur fractures. However, scenarios involving medial comminution, extremely distal fractures, periprosthetic fractures, or nonunion could necessitate medial augmentation. This study explores the possibility of using lateral distal femoral locking plate systems for medial fixation by employing the contralateral plate. Methods: This study presents a technical note on the application of lateral distal femur locking systems for medial augmentation in patients as indicated by current literature findings. Postoperative imaging modalities, including radiography and computed tomography (CT), were used to assess the plates' fit to the distal femur. Three cases following the specified technical note are presented. Results: The various plate systems, all comprising distal femur locking systems, demonstrated adaptability to the medial femur anatomy as confirmed by intraoperative visualization and postoperative radiographs, including two-dimensional and three-dimensional CT scans. It has also been possible to achieve at least 3 independent fixation points regardless of the size of the medial condyle. Conclusions: Locking distal femoral plates can be a viable option for medial augmentation in indicated cases, achieving anatomical adaptation to the distal femur. This provides robust augmentation without the need for additional instruments beyond those used for the lateral cortex. Competing Interests: The author reports no conflict of interest. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association.) |
| Databáze: | MEDLINE |
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