Case Report


Distal femur fractures, when double plate is mandatory: A case report

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1 MD, Department of Orthopaedics, Centro Hospitalar de Leiria, 2410-197 Leiria, Portugal

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Nuno José Abrantes Botelho Mai

Rua de Santo André, 2401-197 Leiria,

Portugal

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Article ID: 100022O03NM2024

doi: 10.5348/100022O03NM2024CR

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How to cite this article

Maia NJAB, Marto É, Rodrigues F, Oliveira F, Silva JD, Caetano JP. Distal femur fractures, when double plate is mandatory: A case report. Edorium J Orthop 2024;9(1):5–8.

ABSTRACT


Introduction: Distal femoral fractures pose significant challenges in terms of surgical management due to their complex anatomy and potential for non-union.

Case Report: This article presents a case study of a 44-year-old male patient who sustained an open comminuted distal femur fracture following a road accident, highlighting the treatment approach and outcomes. Definitive treatment involved the use of both lateral and medial distal femoral plates, employing a double approach.

Conclusion: The discussion emphasizes the importance of addressing factors such as medial metaphyseal comminution and osteoporosis in achieving stable fixation and reducing the risk of failure. The utilization of double plates is advocated as a mean to stabilize both distal femoral columns, thereby enhancing stability and promoting successful outcomes in challenging fractures.

Keywords: Distal femur fracture, Double approach, Medial plate, Trauma

SUPPORTING INFORMATION


Author Contributions

Nuno José Abrantes Botelho Mai - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Final approval of the version to be published

Érica Marto - Drafting the article, Final approval of the version to be published

Francisco Rodrigues - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

Fernando Oliveira - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

João Diogo Silva - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published

João Pedro Caetano - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2024 Nuno José Abrantes Botelho Maia et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.