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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| Format: | Article |
| Language: | English |
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Indian Orthopaedic Research Group
2025-01-01
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| Series: | Journal of Orthopaedic Case Reports |
| Subjects: | |
| 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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| _version_ | 1850208159677808640 |
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| author | M T Ganesh Haemanath Pandian |
| author_facet | M T Ganesh Haemanath Pandian |
| author_sort | M T Ganesh |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e6821b47a7c44254b008050403667c72 |
| institution | OA Journals |
| issn | 2250-0685 2321-3817 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Indian Orthopaedic Research Group |
| record_format | Article |
| series | Journal of Orthopaedic Case Reports |
| spelling | doaj-art-e6821b47a7c44254b008050403667c722025-08-20T02:10:17ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-01-0115127327810.13107/jocr.2025.v15.i01.5198Minimally Invasive Plate Osteosynthesis Using Locking Plates for Distal Femur Fractures: A Retrospective Analysis of 40 CasesM T GaneshHaemanath PandianIntroduction: 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.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/femoral shaft fracturesminimally invasive plate osteosynthesisscrew configurationunion rate |
| spellingShingle | M T Ganesh Haemanath Pandian Minimally Invasive Plate Osteosynthesis Using Locking Plates for Distal Femur Fractures: A Retrospective Analysis of 40 Cases Journal of Orthopaedic Case Reports femoral shaft fractures minimally invasive plate osteosynthesis screw configuration union rate |
| title | Minimally Invasive Plate Osteosynthesis Using Locking Plates for Distal Femur Fractures: A Retrospective Analysis of 40 Cases |
| title_full | Minimally Invasive Plate Osteosynthesis Using Locking Plates for Distal Femur Fractures: A Retrospective Analysis of 40 Cases |
| title_fullStr | Minimally Invasive Plate Osteosynthesis Using Locking Plates for Distal Femur Fractures: A Retrospective Analysis of 40 Cases |
| title_full_unstemmed | Minimally Invasive Plate Osteosynthesis Using Locking Plates for Distal Femur Fractures: A Retrospective Analysis of 40 Cases |
| title_short | Minimally Invasive Plate Osteosynthesis Using Locking Plates for Distal Femur Fractures: A Retrospective Analysis of 40 Cases |
| title_sort | minimally invasive plate osteosynthesis using locking plates for distal femur fractures a retrospective analysis of 40 cases |
| topic | femoral shaft fractures minimally invasive plate osteosynthesis screw configuration union rate |
| url | 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/ |
| work_keys_str_mv | AT mtganesh minimallyinvasiveplateosteosynthesisusinglockingplatesfordistalfemurfracturesaretrospectiveanalysisof40cases AT haemanathpandian minimallyinvasiveplateosteosynthesisusinglockingplatesfordistalfemurfracturesaretrospectiveanalysisof40cases |