Medial Submuscular Plating of the Distal Femur
- PMID: 34227600
- DOI: 10.1097/BOT.0000000000002161
Medial Submuscular Plating of the Distal Femur
Abstract
Distal femur fractures are often treated with laterally based plate constructs. The use of medial plates is less common because of the concern for the proximity to vascular structures. With a solid understanding of the anatomy, the technique can be used more frequently to optimize fixation in medial distal femur fractures and osteoporotic, comminuted, bone loss, and periprosthetic fractures. This video demonstrates a safe technique for the medial submuscular plating of a distal femur fracture. The video covers indications for surgery and provides detailed anatomy of the structures at risk, especially the superficial femoral artery system.
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Conflict of interest statement
The authors report no conflict of interest.
References
-
- Endres NK, Minas T. Medial subvastus approach to the knee: surgical technique. Orth J A. T Harv Med Sch. 2008;10:64–67.
-
- Nayagam S, Davis B, Thevendran G, et al. Medial submuscular plating of the femur in a series of paediatric patients: a useful alternative to standard lateral techniques. Bone Joint J. 2014;96:137–142.
-
- Sanders R, Swiontkowski M, Rosen H, et al. Double-plating of comminuted, unstable fractures of the distal part of the femur. J Orthop Trauma. 2004;18:509–520.
-
- Henderson CE, Kuhl LL, Fitzpatrick LM, et al. Locking plates for distal femur fractures: is there a problem with fracture healing? Orthop Trauma. 2011;25(Suppl 1):S8–S14.
-
- Tank JC, Schneider PS, Davis S, et al. Early mechanical failures of the synthes variable angle locking distal femur plate. J Orthop Trauma. 2016;30:e7–e11.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
