• Southeast Fracture Consortium.
• J Orthop Trauma. 2016 Jun 1; 30 (6): e212-6.

ObjectivesWe compared the postoperative complication rates between the less invasive stabilization system (LISS) plating and locking compression plate for open and closed distal femoral fracture fixation for superiority.DesignRetrospective Review.SettingMulticenter.ParticipantsPatients identified through a hospital database who were treated for supracondylar femur fractures using LISS or LCP techniques between January 2005 and July 2010.InterventionMedical history, patient demographics, injury characteristics, presence of polytrauma, and surgical characteristics were collected for each patient.Main Outcome Measurementsχ and logistic regression analysis was performed to compare postoperative infection and nonunion/reoperation regarding both plating techniques.ResultsOf 339 distal femoral fractures, 185 (54.6%) were repaired with a LISS plate and 154 (45.4%) were repaired with a LCP. Multivariate analysis revealed only open fractures to be a risk factor for nonunion (Odds ratio 2.42, P = 0.01) and infection (Odds ratio 3.47, P = 0.02), regardless of device used. No difference was seen between either plate type in infection, plate failure, or nonunion.ConclusionsPostoperative infection and nonunion rates are comparable between LISS and LCP for both open and closed distal femoral fracture fixation. As no difference was detected between plates, either may be used to treat distal femur fractures. Nonunion rate was higher than expected based on previous reports.Level Of EvidenceTherapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

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