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. 2023 Apr 1;37(4):e175-e180.
doi: 10.1097/BOT.0000000000002475.

Technical Trick: Supplemental Medial Column Screw Fixation of Distal Femur Fractures Treated With a Laterally Based Locked Plate

Stephen R Chen  1 , Humza Shaikh, Blake R Turvey, Gele B Moloney
Affiliations

Technical Trick: Supplemental Medial Column Screw Fixation of Distal Femur Fractures Treated With a Laterally Based Locked Plate

Stephen R Chen et al. J Orthop Trauma. .

Abstract

Given known failure rates after lateral plating of distal femur fractures, there is an increasing interest in augmenting fixation to improve outcomes. The addition of medial plates or intramedullary nails have been described with promising results, decreasing nonunion and varus collapse rates. However, the use of dual implants increases implant costs, adds surgical complexity, and requires a second surgical approach that may increase morbidity. A supplemental, percutaneously placed, medial column screw may provide a less invasive means of improving stability and achieving fracture union compared with lateral plating alone.

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Conflict of interest statement

The authors report no conflict of interest.

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References

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