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Distal femur: nail plate combination and the linked construct

Summary: Operative fixation of distal femur fractures in patients with osteoporotic bone can be challenging. Treatment with either lateral locking plate or retrograde intramedullary nail alone may not provide adequate fixation to allow for early mobilization. Rather, fixation using the nail plate co...

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Autores principales: Liporace, Frank A., Tang, Alex, Jankowski, Jaclyn M., Yoon, Richard S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538551/
https://www.ncbi.nlm.nih.gov/pubmed/37781482
http://dx.doi.org/10.1097/OI9.0000000000000172
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author Liporace, Frank A.
Tang, Alex
Jankowski, Jaclyn M.
Yoon, Richard S.
author_facet Liporace, Frank A.
Tang, Alex
Jankowski, Jaclyn M.
Yoon, Richard S.
author_sort Liporace, Frank A.
collection PubMed
description Summary: Operative fixation of distal femur fractures in patients with osteoporotic bone can be challenging. Treatment with either lateral locking plate or retrograde intramedullary nail alone may not provide adequate fixation to allow for early mobilization. Rather, fixation using the nail plate combination (NPC) to treat distal femur fractures in the elderly may offer improved biomechanical stability to achieve immediate weight-bearing, especially in the setting of complex fracture patterns and osteoporosis. Here, we describe the rationale, step-by-step technique, and outcome following 2 cases: 1 patient treated with a true NPC procedure using retrograde intramedullary nail and standard locking plate, as well as a NPC procedure using a novel locking attaching washer plate.
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spelling pubmed-105385512023-09-29 Distal femur: nail plate combination and the linked construct Liporace, Frank A. Tang, Alex Jankowski, Jaclyn M. Yoon, Richard S. OTA Int Technique Report Summary: Operative fixation of distal femur fractures in patients with osteoporotic bone can be challenging. Treatment with either lateral locking plate or retrograde intramedullary nail alone may not provide adequate fixation to allow for early mobilization. Rather, fixation using the nail plate combination (NPC) to treat distal femur fractures in the elderly may offer improved biomechanical stability to achieve immediate weight-bearing, especially in the setting of complex fracture patterns and osteoporosis. Here, we describe the rationale, step-by-step technique, and outcome following 2 cases: 1 patient treated with a true NPC procedure using retrograde intramedullary nail and standard locking plate, as well as a NPC procedure using a novel locking attaching washer plate. Lippincott Williams & Wilkins 2022-07-18 /pmc/articles/PMC10538551/ /pubmed/37781482 http://dx.doi.org/10.1097/OI9.0000000000000172 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Technique Report
Liporace, Frank A.
Tang, Alex
Jankowski, Jaclyn M.
Yoon, Richard S.
Distal femur: nail plate combination and the linked construct
title Distal femur: nail plate combination and the linked construct
title_full Distal femur: nail plate combination and the linked construct
title_fullStr Distal femur: nail plate combination and the linked construct
title_full_unstemmed Distal femur: nail plate combination and the linked construct
title_short Distal femur: nail plate combination and the linked construct
title_sort distal femur: nail plate combination and the linked construct
topic Technique Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538551/
https://www.ncbi.nlm.nih.gov/pubmed/37781482
http://dx.doi.org/10.1097/OI9.0000000000000172
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