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. 2018 Mar 20;8(1):4863.
doi: 10.1038/s41598-018-23268-8.

Comparison of Clinical Efficacy of Lateral and Lateral and Medial Double-plating Fixation of Distal Femoral Fractures

Zhibiao Bai  1 , Shichang Gao  2 , Zhenming Hu  1 , Anlin Liang  1
Affiliations

Comparison of Clinical Efficacy of Lateral and Lateral and Medial Double-plating Fixation of Distal Femoral Fractures

Zhibiao Bai et al. Sci Rep. .

Abstract

The present study was performed to compare the clinical efficacy of lateral plate and lateral and medial double-plating fixation of distal femoral fractures and explore the indication of lateral and medial double-plating fixation of the distal femoral fractures. From March 2006 to April 2014, 48 and 12 cases of distal femoral fractures were treated with lateral plate (single plate) and lateral and medial plates (double plates), respectively. During the surgery, after setting the lateral plate for the distal femoral fractures, if the varus stress test of the knee was positive and the lateral collateral ligament rupture was excluded, lateral and medial double-plating fixation was used for the stability of the fragments. All the patients were followed up at an average period of 15.9 months. The average operation time, the intraoperative hemorrhage and the fracture union time of the two groups were compared. One year after operation, knee function was evaluated by the Kolmert's standard. There was no significant difference in the average operation time, intraoperative hemorrhage, fracture healing time and excellent and good rates of postoperative knee function between two groups. Positive Varus stress test during operation can be an indication for lateral and medial double-plating fixation of distal femoral fractures.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
1, 2, 3, 4 the preoperative X-ray and CT three-dimensional reconstruction of femur.
Figure 2
Figure 2
5, 6 the X-ray of the femur, taken two days after operation.
Figure 3
Figure 3
7, 8, 9 the X-ray of femur, taken by 1, 2, 3 years after operation.
Figure 4
Figure 4
10, 11 the X-ray of the femur, taken after the plates were taken out.
Figure 5
Figure 5
12 the knee function of the patient, taken 1year after operation.
Figure 6
Figure 6
13, 14, 15, 16 the preoperative X-ray and CT three-dimensional reconstruction of femur.
Figure 7
Figure 7
17, 18 the X-ray of femur, taken 18 months after operation, 19 the knee function of the patient, taken one year after operation.
See this image and copyright information in PMC

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