Operative Orthopädie und Traumatologie
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Oper Orthop Traumatol · Dec 2020
Minimally invasive double-plating osteosynthesis of the distal femur.
Technical description of minimally invasive double-plating of the distal femur. ⋯ Between 2015 and December 2018, minimally invasive double-plate osteosynthesis using a medial helical shaped plate was performed in 11 patients. In 6 cases it was applied in patients (81 years ± 7 SD) with a supracondylar peri- or interprosthetic femoral fracture. No implant failure or loss of reduction was seen after postoperative unrestricted weight bearing. In the additional 5 cases double-plating was used in salvage procedures ([infected] non-unions, hardware failure). One of these patients developed a fracture-related infection for which all material was removed. The fracture healed after a new attempt of antegrade nailing combined with an additional locking plate. In the remaining patients complete bone healing without hardware failure was seen.