Results of Low Distal Femur Periprosthetic Fractures.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: W. Virkus is a paid consultant for Stryker. The remaining authors report no conflict of interest. 13. Injury. 2018 Jun;49 Suppl 1:S44-S48. doi: 10.1016/S0020-1383(18)30302-4. Distal femur: dynamization of plating. Kandemir U(1). Author information: (1)Department of Orthopaedic Surgery, University of California, San Francisco, California, USA. Electronic address: Utku.Kandemir@ucsf.edu. With advances in osteosynthesis technology providing improved stability of fixation and better outcomes, surgical treatment has become the standard of care for distal femur fractures. Pre-contoured distal femoral locking plates are the most commonly used implants for fixation. However, healing problems such as delayed union, failure of fixation, and /or nonunion are not uncommon. The fixation construct being "too stiff" is a commonly quoted reason when nonunion/failure of fixation occurs on distal femur fractures fixed with a plate. A flexible fixation construct allowing controlled axial micromotion could help stimulate the bone healing. In order to achieve this goal, plating construct stiffness can be modified by several methods. © 2018 Elsevier Ltd. All rights reserved. DOI: 10.1016/S0020-1383(18)30302-4