Distal femur: dynamization of plating - PubMed (original) (raw)
Distal femur: dynamization of plating
Utku Kandemir. Injury. 2018 Jun.
Abstract
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.
Keywords: Delayed union; Distal femur; Dynamization; Fracture; Nonunion; Plating.
© 2018 Elsevier Ltd. All rights reserved.
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