Acta Scientific Orthopaedics (ASOR) (ISSN: 2581-8635)

Research Article Volume 3 Issue 9

Locked Platting for Distal Femur Fractures, Is it a Good Option?

Maged Mohamed Mostafa1*, Ahsan Javaid Butt1, Ahmed Refaat Khamis2, Atul Bandi3 and Adeel Nawab Ditta4

1Physical Medicine and Rehabilitation Department, Amman, Jordan

2Consultant Orthopedic Surgery, Benha University Hospital, Egypt

3Orthopedic Registrar, King Hamad University Hospital, Bahrain

4Orthopedic SHO, King Hamad University Hospital, Bahrain

*Corresponding Author: Maged Mohamed Mostafa, Consultant Orthopedic Surgery, King Hamad University Hospital, Bahrain.

Received: August 01, 2020; Published: , 2020



Distal femoral fractures are among the challenging injuries to be rigidly fixed. Different implants for internal fixation have been used with varying degrees of success. The aim of this study is to review the results of using the distal femoral locked plate (DFLP) in treatment of different fracture patterns of the distal femur.

Methods: A retrospective study was performed between 2012 and 2018 on 41 patients with distal femur fractures treated by distal femoral locked plate (DFLP) in King Hamad University Hospital (KHUH) of Bahrain. Pritchett rating system was used to assess the functional outcome of those patients. Results: total 41 patients were enrolled in the study. There were 13 males and 28 females. The age ranged between 18 and 94 years with an average of 62.9 years. Thirty four patients were followed up till complete union. The average follow up period was 17.2 months. Functional outcome was excellent in 15 patients, good in 10, fair in 4 and poor in 5 cases. Conclusion: distal femoral locked plate (DFLP) is a reliable implant which offers successful results upon using in treatment of various patterns of distal femur fractures.

Keywords: Comminuted; Distal Femur; Internal Fixation; Locked Plates; Outcome



  1. Orozco R., et al. “Atlas of Internal Fixation of Fractures of Long Bones”. Berlin, Heidelberg: Springer (2000): 201-226.
  2. Crist BD., et al. “Treatment of acute distal femur fractures”. Orthopedics7 (2008): 681-690.
  3. Hoffmann MF., et al. “Clinical outcomes of locked plating of distal femoral fractures in a retrospective cohort”. Journal of Orthopaedic Surgery and Research 8 (2013): 43.
  4. Ehlinger M., et al. “Distal femur fractures, Surgical techniques and a review of the literature”. Orthopaedics and Traumatology: Surgery and Research 3 (2013): 353-360.
  5. Nayak RM., et al. “Minimally invasive plate osteosynthesis using a locking compression plate for distal femoral fractures”. Journal of Orthopaedic Surgery 2 (2011): 185-190.
  6. Henry SL., et al. “Management of supracondylar fractures of the femur with the GSH intramedullary nail: preliminary report”. Contemporary Orthopaedics 6 (1991): 631-640.
  7. Grass R., et al. “Retrograde locking nail osteosynthesis of distal femoral fractures with the distal femoral nail (DFN)”. Der Unfallchirurg4 (2002): 298-314.
  8. David SM., et al. “Comparative biomechanical analysis of supracondylar femur fracture fixation: locked intramedullary nail versus 95-degree angled plate”. Journal of Orthopaedic Trauma5 (1997): 344-350.
  9. Kregor PJ., et al. “Distal femoral fracture fixation utilizing the Less Invasive Stabilization System (L.I.S.S.): the technique and early results”. Injury 32 (2001): SC 32-47.
  10. Weight M and Collinge C. “Early results of the less invasive stabilization system for mechanically unstable fractures of the distal femur (AO/OTA types A2, A3, C2, and C3)”. Journal of Orthopaedic Trauma8 (2004): 503-508.
  11. Muller ME., et al. “The comprehensive classification of fractures of long bones”. 3rd edition. New York, NY: Springer (1991): 118-150.
  12. Gustilo RB and Anderson JT. “Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses”. Journal of Bone and Joint Surgery 58 (1976): 453–458.
  13. Pritchett JW. “Supracondylar Fractures of the Femur”. Clinical Orthopaedics and Related Research 184 (1984): 173-177.
  14. Vallier HA., et al. “Failure of LCP condylar plate fixation in the distal part of the femur. A report of six cases”. Journal of Bone and Joint Surgery 4 (2006): 846-853.
  15. Kubiak EN., et al. “The evolution of locked plates”. Journal of Bone and Joint Surgery 4 (2006): 189-200.
  16. Loosen A., et al. “Surgical Treatment of Distal Femur Fractures in Geriatric Patients”. Geriatric Orthopaedic Surgery and Rehabilitation 10 (2019): 1-5.
  17. Haidukewych G., et al. “Results of polyaxial locked-plate fixation of periarticular fractures of the knee”. Journal of Bone and Joint Surgery 3 (2007): 614-620.
  18. Tank JC., et al. “Early Mechanical Failures of the Synthes Variable Angle Locking Distal Femur Plate”. Journal of Orthopaedic Trauma1 (2016): e7-e11.
  19. Bezwada HP., et al. “Periprosthetic supracondylar femur fractures following total knee arthroplasty”. The Journal of Arthroplasty4 (2004): 453-458.
  20. Gardner MJ., et al. “Open reduction and internal fixation of distal femur non-unions: Long term functional outcome following a treatment protocol”. Journal of Trauma 64 (2008): 434-438.
  21. Hiertholzer C., et al. “Outcome analysis of retrograde nailing and less invasive stabilization system in distal femur fractures: a retrospective analysis”. Indian Journal of Orthopaedics 45 (2011): 243-250.
  22. Ricci WM., et al. “Locked plates combined with minimally invasive insertion technique for the treatment of periprosthetic supracondylar femur fractures above a total knee arthroplasty”. Journal of Orthopaedic Trauma3 (2006): 190-196.
  23. Raab GE., et al. “Early healing with locked condylar plating of periprosthetic fractures around the knee”. The Journal of Arthroplasty8 (2005): 984-989.
  24. Figgie MP., et al. “The results of treatment of supracondylar fracture above total knee arthroplasty”. The Journal of Arthroplasty3 (1990): 267-276.
  25. El-Kawy S., et al. “Retrograde femoral nailing in elderly patients with supracondylar fracture femur; is it the answer for a clinical problem?” International Orthopaedics 1 (2007): 83-86.
  26. Bong MR., et al. “Comparison of the LISS and a retrograde-inserted supracondylar intramedullary nail for fixation of a periprosthetic distal femur fracture proximal to a total knee arthroplasty”. The Journal of Arthroplasty7 (2002): 876-881.
  27. Large TM., et al. “Locked plating of supracondylar periprosthetic femur fractures”. The Journal of Arthroplasty6 (2008): 115-120.
  28. Currall VA., et al. “Retrograde nailing for supracondylar fracture around total knee replacement: a compatibility study using the Trigen supracondylar nail”. Knee 3 (2007): 208-211.
  29. Streubel PN., et al. “Are extreme distal periprosthetic supracondylar fractures of the femur too distal to fix using a lateral locked plate?” Journal of Bone and Joint Surgery 4 (2010): 527-534.
  30. Virk JS., et al. “Distal Femur Locking Plate: The Answer to All Distal Femoral Fractures”. Journal of Clinical and Diagnostic Research 10 (2016): RC01-RC05.
  31. Poole WEC., et al. “'Modern' distal femoral locking plates allow safe, early weight-bearing with a high rate of union and low rate of failure: five-year experience from a United Kingdom major trauma center”. Bone and Joint Surgery 99-B.7 (2017): 951-957.
  32. Rademakers MV., et al. “Intra-articular fractures of the distal femur: a long-term follow-up study of surgically treated patients”. Journal of Orthopaedic Trauma4 (2004): 213-219.


Citation: Maged Mohamed Mostafa., et al. “Locked Platting for Distal Femur Fractures, Is it a Good Option?". Acta Scientific Orthopaedics 3.9 (2020): 10-17.


Acceptance rate33%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US