Achieving torsional stability of distal femur fractures through a single approach using 90–90 construct
Year: 2024
Type: article
Study design: Case Report
Abstract: Distal femoral fractures (DFFs) are frequently characterised by significant comminution, osteoporosis, high implant failure, insufficient fixation because of a shortened distal part, non-union, malunion, and poor outcome. Our report presents two cases treated with dual plating in a 90-90 construct to achieve torsional stability. DFF fixation by dual plating in a 90-90 configuration proved to be a superior fixation similar to 90-90 plating for distal humerus fracture, since 90-90 plate fixation had significantly greater torque to failure load and has more resistance to torsional loading. Two cases of distal femur non-union with implant failure were treated utilising a double plating. These non-union cases exhibited radiological healing and knee range of motion at a mean follow-up of 6 months. This technique offers a modified way of treating these difficult non-union cases through a single incision, providing mechanical stability conducive to fracture healing.
Source: BMJ Case Reports
Institution: P. D. Hinduja Hospital and Medical Research Centre
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
OpenAlex ID: W4403276735