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Locked plating in older patients with distal femur fractures: strategies to avoid complications
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Je-Hyun Yoo
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J Musculoskelet Trauma 2026;39(4):289-298. Published online August 24, 2026
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DOI: https://doi.org/10.12671/jmt.2026.00234
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 Abstract
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- Distal femur fractures in older patients with osteoporosis are difficult to treat because poor bone quality reduces screw purchase and fixation stability. Minimally invasive locked plating with an angularly stable locking compression plate is widely used to obtain secure fixation in osteoporotic distal femur fractures and offers improved biomechanical performance. However, complications such as implant failure and peri-implant fracture continue to occur. This narrative review summarizes current principles of minimally invasive lateral locked plating for osteoporotic distal femur fractures in older patients and discusses practical strategies to reduce fixation-related complications based on the available literature and the author’s clinical experience.
Level of evidence: Not applicable.
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