• Injury · Jun 2018

    Distal femur: dynamization of plating.

    • Utku Kandemir.
    • Department of Orthopaedic Surgery, University of California, San Francisco, California, USA. Electronic address: Utku.Kandemir@ucsf.edu.
    • Injury. 2018 Jun 1; 49 Suppl 1: S44-S48.

    AbstractWith 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.

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