Periprosthetic femoral fractures.

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Abstract

[Indexed for MEDLINE] 20. EFORT Open Rev. 2022 Apr 21;7(4):274-286. doi: 10.1530/EOR-21-0113. Double fixation for complex distal femoral fractures. Stoffel K(1), Sommer C(2), Lee M(3), Zhu TY(4), Schwieger K(4), Finkemeier C(5). Author information: (1)Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland. (2)Department of Surgery, Kantonsspital Graubuenden, Chur, Switzerland. (3)Department of Orthopaedic Surgery, UC Davis Medical Center, Sacramento, California, USA. (4)AO Innovation Translation Center, AO Foundation, Davos, Switzerland. (5)Sutter Roseville Medical Center, Roseville, California, USA. For complex distal femoral fractures, a single lateral locking compression plate or retrograde intramedullary nail may not achieve a stable environment for fracture healing. Various types of double fixation constructs have been featured in the current literature. Double-plate construct and nail-and-plate construct are two common double fixation constructs for distal femoral fractures. Double fixation constructs have been featured in studies on comminuted distal femoral fractures, distal femoral fracture with medial bone defects, periprosthetic fractures, and distal femoral non-union. A number of case series reported a generally high union rate and satisfactory functional outcomes for double fixation of distal femoral fractures. In this review, we present the state of the art of double fixation constructs for distal femoral fractures with a focus on double-plate and plate-and-nail constructs. DOI: 10.1530/EOR-21-0113 PMCID: PMC9069857