Abstract: Background: Despite advances in surgical techniques and various implants, the treatment of intra-articular distal femoral fractures poses a challenge to the clinicians worldwide. In this study we aimed to evaluate the clinical outcomes of lateral locking plate combined with medial assisted plate for treating intraarticular comminuted distal femoral fractures.
Materials and Methods: We conducted a retrospective study which consisted of 10 cases of distal femur fracture with intraarticular extension and treated with open reduction and internal fixation with dual column plating using single incision anterior midline approach.
Results: The mean age was 40.75±12.39 with a range of 20-70 years. There were 7 males and 3 females. Mean time for union was 16.15±1.35 weeks. 1 patient had decreased ROM due to stiffness at the knee joint. 1 patient had superficial infection. No deep infection was noted. 1 case of non-union was noted in this study. Range of motion at knee at final follow up was 124.25±17.34 degrees. The mean NEER score was 82.15±9.19 with a range of 54-91.
Conclusion: Single-incision dual plating approach for distal femoral fractures is effective and provides stable construct without loss of reduction and allows early rehabilitation and good functional outcomes.
