Se-Ang Jang; Young-Soo Byun; In-Ho Han; Dongju Shin

doi:10.12671/jkfs.2016.29.3.206

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Case Report
Medial Plating of Distal Femoral Fracture with Locking Compression Plate-Proximal Lateral Tibia: Cases' Report: Se-Ang Jang, M.D., Young-Soo Byun, M.D., In-Ho Han, M.D., Dongju Shin, M.D.; Journal of the Korean Fracture Society 2016;29(3):206-212.
DOI: https://doi.org/10.12671/jkfs.2016.29.3.206
Published online: July 21, 2016

Department of Orthopaedic Surgery, Daegu Fatima Hospital, Daegu, Korea.

Address reprint requests to: Dongju Shin, M.D. Department of Orthopaedic Surgery, Daegu Fatima Hospital, 99 Ayang-ro, Dong-gu, Daegu 41199, Korea. Tel: 82-53-940-7324, Fax: 82-53-954-7417, aabga@hanmail.net

• Received: April 15, 2016 • Revised: May 20, 2016 • Accepted: June 9, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
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REFERENCES

Abstract

Generally, lateral plating is used for a comminuted fracture of the distal femur. However, in some cases, it has been shown that using a medial plate is necessary to achieve better outcome. Nevertheless, there are no available anatomical plates that fit either the distal medial femoral condyle or fracture fixation, except for the relatively short plate developed for distal femoral osteotomy. We found that locking compression plate-proximal lateral tibia (LCP-PLT) fits anatomically well for the contour of the ipsilateral medial femoral condyle. Moreover, LCP-PLT has less risk of breaking the thread holes since it rarely needs to be bent. We report a plastic bone model study and two cases of distal femoral fractures fixed with medial plating using LCP-PLT.
Key words: Distal femur, Medial plating, Locking compression plate proximal lateral tibia

None.

REFERENCES

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Fig. 1

Photographs of the femur bone model (3B Scientific, Hamburg, Germany) with various plates on medial condyle, locking compression plate-proximal lateral tibia (LCP-PLT), tomoFix-medial distal femur plate (TomoFix-MDF), proximal humerus internal locking plate system (PHILOS), LCP-medial distal tibia plate (LCP-MDTP), LCP-distal metaphyseal tibia (LCP-DMT), and LCP-distal tibia T (LCP-T) plate, in order from upper left corner.

Fig. 2

Photographs of the femur bone model (3B Scientific, Hamburg, Germany) showing the application of locking compression plate- proximal lateral tibia (LCP-PLT) on appropriate position. A: Distal posterior hole.

Fig. 3

Photographs of the femur bone model (Synbone, Malans, Switzerland) with the application of locking compression plate-proximal lateral tibia (LCP- PLT) on appropriate position. A: Distal posterior screw directed to the intercondylar notch, B: 2nd row screw reached the lateral femoral condyle without penetration into the intercondylar notch.

Fig. 4

Radiographs of the right knee and the right femur showing preexisting lateral plate and comminuted fracture of the right distal femur.

Fig. 5

Radiographs and photographs of the right femur at 12 months after the surgery showing good fracture healing and good range of motion of the right knee.

Fig. 6

Radiographs of the left knee and the coronal section of computed tomography scan of the left knee showing severely impacted medial condyle fracture.

Fig. 7

Radiographs and photographs of the left knee at 14 weeks after surgery showing good fracture healing and good range of motion of the left knee.

Figure & Data

REFERENCES

Citations

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Medial Plating of Distal Femoral Fracture with Locking Compression Plate-Proximal Lateral Tibia: Cases' Report

J Korean Fract Soc. 2016;29(3):206-212. Published online July 31, 2016

DOI: https://doi.org/10.12671/jkfs.2016.29.3.206

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Medial Plating of Distal Femoral Fracture with Locking Compression Plate-Proximal Lateral Tibia: Cases' Report

Fig. 1 Photographs of the femur bone model (3B Scientific, Hamburg, Germany) with various plates on medial condyle, locking compression plate-proximal lateral tibia (LCP-PLT), tomoFix-medial distal femur plate (TomoFix-MDF), proximal humerus internal locking plate system (PHILOS), LCP-medial distal tibia plate (LCP-MDTP), LCP-distal metaphyseal tibia (LCP-DMT), and LCP-distal tibia T (LCP-T) plate, in order from upper left corner.

Fig. 2 Photographs of the femur bone model (3B Scientific, Hamburg, Germany) showing the application of locking compression plate- proximal lateral tibia (LCP-PLT) on appropriate position. A: Distal posterior hole.

Fig. 3 Photographs of the femur bone model (Synbone, Malans, Switzerland) with the application of locking compression plate-proximal lateral tibia (LCP- PLT) on appropriate position. A: Distal posterior screw directed to the intercondylar notch, B: 2nd row screw reached the lateral femoral condyle without penetration into the intercondylar notch.

Fig. 4 Radiographs of the right knee and the right femur showing preexisting lateral plate and comminuted fracture of the right distal femur.

Fig. 5 Radiographs and photographs of the right femur at 12 months after the surgery showing good fracture healing and good range of motion of the right knee.

Fig. 6 Radiographs of the left knee and the coronal section of computed tomography scan of the left knee showing severely impacted medial condyle fracture.

Fig. 7 Radiographs and photographs of the left knee at 14 weeks after surgery showing good fracture healing and good range of motion of the left knee.

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Medial Plating of Distal Femoral Fracture with Locking Compression Plate-Proximal Lateral Tibia: Cases' Report