Comparative Study between Single and Double Plating of Comminuted Supracondylar Femoral Fractures in Prevention of Post-Operative Varus Collapse | ||
| ARCADEs of MEDICINE | ||
| Articles in Press, Accepted Manuscript, Available Online from 07 October 2025 | ||
| Document Type: Original Research | ||
| DOI: 10.21608/arcmed.2025.399245.1143 | ||
| Authors | ||
| Bahaa Eldin Ashour* 1; Ihab Aly Hosny2; Islam Salah El Sayed3; Mohamed kamal Ismail4 | ||
| 1Orthopedic Surgery Department, Armed Forces College of Medicine, Cairo, Egypt | ||
| 2Head of orthopedic department, Armed Forces College of Medicine, Cairo, Egypt | ||
| 3Radiology department, Military medical academy, Cairo, Egypt | ||
| 4orthopedic surgery department, AFCM, Cairo, Egypt | ||
| Abstract | ||
| Background: Comminuted supracondylar femoral fractures are complex injuries that shows significant challenges in orthopedic management. different surgical approaches have been developed to address the complexity of these fracture as single and double plating. We aimed to compare between single and double plating of comminuted supracondylar femoral fractures regarding primary and secondary outcomes. Methods: This prospective comparative study was performed on 50 Skeletally mature cases above the age of 18, both genders, with Comminuted distal femoral fractures with or without intra-articular extension (AO/OTA Types A2-A3 and C2-C3). All cases were subjected to: history taking, clinical examination, radiological assessment [Plain x-ray: knee and femur region AP and lateral views, and AP view of pelvis and both hips and CT scan: if intra-articular extension was suspected], laboratory investigations [CBC, liver, and renal function tests, blood glucose level, coagulation profile], ECG and echocardiography for older cases. Results: Regarding complications, varus Collapse was significantly more common in the single plate group (p = 0.014) at 6 months post operative. The double plate group showed a significantly higher KOOS score (p = 0.029) at 3 months post operative, the double plate group continued to have a significantly higher KOOS score (p < 0.001) at 6 months post operative indicating that the double plating technique provides better functional outcomes, both at 3 months and 6 months post-operatively. Conclusions: Double plating offers better function, stability, and alignment, with higher KOOS scores and lower varus collapse risk, making it the preferred option for comminuted supracondylar femoral fractures. | ||
| Keywords | ||
| Supracondylar Femoral Fractures; Varus Collapse; Single Plating; Double Plating | ||
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