Functional and Radiological Outcomes of Double Plating of Comminuted Distal Femur Fractures | ||
| The Egyptian Orthopaedic Journal | ||
| Volume 60, Issue 3, September 2025, Pages 206-212 PDF (562.12 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EOJ.2025.449734 | ||
| Authors | ||
| Mostafa E.M.A. Kassab* ; Mostafa A. Ayoub; Mohamed R. El-Tabakh | ||
| Department of Orthopedic Surgeryc, Faculty of Medicine, Tanta University, Tanta, Egypt. | ||
| Abstract | ||
| Background For distal femur fractures, double fixation structures are employed to allow for partial weight-bearing and encourage an early and immediate range of motion, thereby reducing the failure rate. This study evaluated the clinical and imaging results of treating unsteady distal femur fractures in adults by double plating with a lateral locked plate and a medial buttress plate. Patients and Methods A total of 21 cases (aged 18 and older) with comminuted acute distal femur fractures (AO Classification: A3, C2, and C3) participated in this prospective study. Both closed and open distal femur fractures (Grade I) were included in the study. Through lateral and medial incisions, all participants had surgery on their distal femurs. Results The correlation between age and Time of union was moderately positive (r=0.607, P=0.004). On the other hand, there were modest negative relationships between Time to union and diabetes mellitus (r=-0.539, P=0.012) and cigarette smoking (r=-0.507, P=0.019). Age, smoking, diabetes mellitus, infection, time to union, and stiffness were inversely associated with the functional score. At 6 months and 12 months, the functional score significantly increased compared with the 3-month score (P<0.05), with an additional significant increase observed between the 12 month and 6 month scores. Conclusions The application of double plating for comminuted unstable distal femur fractures yielded encouraging outcomes characterized by accelerated healing, enhanced functional recovery, early rehabilitation, and reduced complications. Double plating has proven to be an effective treatment option, offering substantial advantages for patients suffering from comminuted unstable distal femur fractures. | ||
| Keywords | ||
| Double fixation; Dual plating; Outcomes; Radiological score; Unstable distal femur fractures | ||
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