Do Far Cortical Locking Screws in Locking Plates Lead to Earlier and Increased Medial Callus in Distal Femur Fractures Comparing to Standard Locking Screws?
Year: 2026
Type: article
Study design: Observational Study
Abstract: Background: ) and changes in callus area over time in radiographs of distal femur fractures treated with FCL as compared to traditional locking plate constructs. Methods: A retrospective review of medical records conducted to identify patients with distal femur fractures. Medial callus area from AP radiographs was quantified from 6-, 12- and 24-week postop radiographs using OrthoRead software. Medial callus areas were compared between FCL construct fixation and traditional LP. Results: (0.001514.70), p=0.039). Conclusion: In this study, there is increased callus generated in FCL vs LP constructs at 24 weeks postoperatively (p=0.02). This is in accordance with previous animal models. However clinical advantages of this increased callus were not identified in the study. Because of the study limitations and potential confounders, prospective studies are necessary to further assess whether there is a clinically relevant healing advantage of FCL over standard LP constructs. Level of Evidence: III.
Source: PubMed
Language: English
Subfield: Orthopedics and Sports Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7170224422