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  • Nail Plate Construct...

Nail Plate Construct shows effective fixation and immediate weightbearing post-operatively

Written By : Niveditha Subramani |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-11-10T01:00:55+05:30  |  Updated On 11 Nov 2023 10:34 AM IST
Nail Plate Construct shows effective fixation and immediate weightbearing post-operatively
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Distal femur fractures are most common traumatic injuries in young people and osteopenic females accounting for 3.6% of femur fractures and less than 1% of all fractures. The fracture is characterized in the region extending from the distal metaphyseal-diaphyseal junction to the articular surface of the femoral condyles.

Common treatment practices are lateral locking plate or intramedullary nail fixation, with disadvantages including risk of non and malunion and limited post-operative weightbearing status. According to a new study in Orthopaedic Surgery suggests combining both techniques as a nail-plate construct (NPC) achieves enhanced fixation to allow immediate weightbearing. The NPC provided stable fixation permitting full weightbearing post-operatively with no cases of non or malunion.

Investigators conducted a single-center retrospective study including all patients >18 years who sustained distal femur fractures treated with NPC. Primary outcomes were radiographic union, malunion and patient reported outcome measures at minimum 1-year follow-up. Secondary outcome measures included post-operative mobility, length of stay and complications. Relevant variables of normality are reported as mean with standard deviation. Subgroup analysis of patients aged <65 and ≥65 years are provided.

The key findings of the study are

• Sixteen patients were included in the study. Rate of radiographic union was 100%. There was no case of malunion.

• All patients were allowed to bear full weight immediately post-operatively. Mean length of stay was 9.50 days, with 37.5% of patients discharged directly home.

• The majority (85.7%) of patients returned to pre-injury mobility. Early post-operative complications occurred in three patients.

• Three patients returned to theater. The mean EQ-5D-5L index value was 0.713, with 71.4% describing no problems with self-care and 85.7% reporting no or slight problems with usual daily activities.

Researchers concluded that “The NPC provided stable fixation permitting full weightbearing post-operatively with no cases of non or malunion. Return to pre-injury mobility and activity are encouraging. Based on these results we support the use of nail-plate construct fixation in the management of distal femur fractures.”

Reference: Pfister, Benjamin, et al. "Best of Both Worlds? Fixation of Distal Femur Fractures With the Nail-Plate Construct." Orthopaedic Surgery, 2023. DOI: https://doi.org/10.1111/os.13927.

Nail Plate ConstructFixationimmediate weight-bearingpost-operative caredistal metaphyseal-diaphysealfemoral condyleslateral locking plateintramedullary nail fixationOrthopaedic Surgery
Source : Orthopaedic Surgery
Niveditha Subramani
Niveditha Subramani

    MSc. Neuroscience

    Niveditha Subramani a MSc. Neuroscience (Faculty of Medicine) graduate from University of Madras, Chennai. Ambitious in Neuro research having worked in motor diseases and neuron apoptosis is interested in more of new upcoming research and their advancement in field of medicine. She has an engrossed skill towards writing and her roles at Medical dialogue include Sr. Content writer. Her news covers new discoveries and updates in field of medicine. She can be reached at editorial@medicaldialogues.in

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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