Minimally Invasive Plate Osteosynthesis Using Locking Plates for Distal Femur Fractures: A Retrospective Analysis of 40 Cases

Introduction: Distal femur fractures present significant surgical challenges due to their complex anatomy and limited soft tissue coverage. Minimally invasive plate osteosynthesis (MIPO) has emerged as a promising alternative to traditional open techniques, aiming to reduce soft-tissue damage while...

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Bibliographic Details
Main Authors: M T Ganesh, Haemanath Pandian
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2025-01-01
Series:Journal of Orthopaedic Case Reports
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Online Access:https://jocr.co.in/wp/2025/01/01/minimally-invasive-plate-osteosynthesis-using-locking-plates-for-distal-femur-fractures-a-retrospective-analysis-of-40-cases/
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Summary:Introduction: Distal femur fractures present significant surgical challenges due to their complex anatomy and limited soft tissue coverage. Minimally invasive plate osteosynthesis (MIPO) has emerged as a promising alternative to traditional open techniques, aiming to reduce soft-tissue damage while maintaining stable fixation, particularly when used with locking plates. Materials and Methods: This retrospective study analyzed 40 consecutive patients with distal femur fractures treated with MIPO and locking plates. Results: The results showed a high union rate of 92.5%, with fractures healing within 16–24 weeks (mean: 19.2 weeks). Complications occurred in 12.5% of cases, including three cases of malalignment, one case of screw breakage, and one infection. Functional outcomes were positive, with 85% of patients achieving excellent or good results based on the Knee Society Score, indicating satisfactory postoperative mobility and joint function. Conclusion: MIPO using locking plates is a reliable and effective treatment for distal femur fractures, offering high union rates, manageable complication rates, and favorable functional outcomes while minimizing soft-tissue disruption.
ISSN:2250-0685
2321-3817