Dual Plating of Distal Femoral Fractures.

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Abstract

Conflict of interest statement: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSEST/A447). 12. Orthop Traumatol Surg Res. 2024 Nov;110(7):103856. doi: 10.1016/j.otsr.2024.103856. Epub 2024 Mar 2. Revision total knee arthroplasty with periprosthetic distal femoral fracture. Chantelot C(1), Saab M(2), Martin T(2), Begue T(3), Ehlinger M(4), Flecher X(5); SoFCOT(6). Author information: (1)Service de traumatologie, hôpital Salengro, CHU de Lille, avenue du Professeur Emile-Laine, 59000 Lille, France. Electronic address: christophe.chantelot@chru-lille.fr. (2)Service de traumatologie, hôpital Salengro, CHU de Lille, avenue du Professeur Emile-Laine, 59000 Lille, France. (3)Service de traumatologie, hôpital Antoine-Béclère, 157, rue de la Porte de Trivaux, 92140 Clamart, France. (4)Service de traumatologie, hôpital de Hautepierre, avenue Molière, 67200 Strasbourg, France. (5)Service de traumatologie, hôpital Nord, chemin des Bourrely, 13015 Marseille, France. (6)56, rue Boissonade, 75014 Paris cedex, France. Treatment strategies for periprosthetic distal femoral fracture depend on the type of fracture, level with respect to the prosthesis, and prosthesis fixation. The usual treatment is internal fixation by nail or locking plate. This can be more difficult when the fracture is close to the joint, is destabilizing the prosthesis or is associated with reduced bone stock, and implant exchange should be considered, depending on the patient's health status. The aim is to obtain the fastest possible recovery while limiting complications and minimizing surgery time for often frail and elderly patients. The present study details the implant revision technique in periprosthetic distal femoral fracture, which requires experience in traumatology and prosthetic revision and material adapted to the situation. LEVEL OF EVIDENCE: V, expert opinion. Copyright © 2024 Elsevier Masson SAS. All rights reserved. DOI: 10.1016/j.otsr.2024.103856