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ZENODO
Article . 2026
License: CC BY
Data sources: ZENODO
ZENODO
Article . 2026
License: CC BY
Data sources: Datacite
ZENODO
Article . 2026
License: CC BY
Data sources: Datacite
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Functional Outcome of Dual Plating in Patients with Distal Femur Fracture: A Prospective and Retrospective Study

Authors: Dr. Sandeep MMR1, Dr. Hari Prasath P2, Dr. Ajin Vinfer A3;

Functional Outcome of Dual Plating in Patients with Distal Femur Fracture: A Prospective and Retrospective Study

Abstract

Background: Distal femur fractures, particularly AO/OTA Types C2 and C3, represent a significant surgical challenge due to complex comminution, proximity to the knee joint, and the biomechanical demands of weight-bearing. Single lateral plate fixation frequently fails to provide adequate medial column support, resulting in varus collapse and nonunion. Dual plating, employing both lateral and medial constructs, has emerged as a superior fixation strategy for these unstable fractures. Objective: To evaluate the functional and radiological outcomes of dual plating in patients with complex distal femur fractures. Methods: A combined prospective and retrospective study was conducted at PSG Institute of Medical Sciences and Research, Coimbatore, involving 41 patients with complex distal femur fractures (AO/OTA Types C1, C2, C3) who underwent dual plating over a one-year study period with six-month follow-up. Outcome measures included fracture union rate, postoperative knee range of motion (ROM), functional outcome, and complication rate. Results: AO Type 33-C2 was the most prevalent fracture pattern (46.3%), followed by C3 (34.1%) and C1 (19.5%). A 100% radiological union rate was achieved with a mean time to union of 9.66 ± 1.30 months. At six weeks, 48.8% of patients achieved 0–90° knee ROM. Good functional outcomes were observed in all 41 patients (100%), with an overall good clinical result in 92.7%. The complication rate was 4.9%. Conclusion: Dual plating provides superior biomechanical stability, facilitates early mobilization, and yields excellent functional outcomes with minimal complications in complex distal femur fractures. It is a reliable fixation strategy, especially in osteoporotic and highly comminuted fractures.

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green