Patients and methods:All patients treated at our centre with lateral distal femoral locking plates (LDFLP) between 2009 and 2014 were identified. Fracture classification and operative information including weight-bearing status, rates of union, re-operation, failure of implants and mortality rate, were recorded. Addition of a Medial Locking Plate to an In Situ Lateral Background:Nonunion of the distal femur after lateral plating is associated with axial malalignment, chronic pain, loss of ambulatory function, and decreased knee ROM.
osseous union for distal femoral nonunions with an in situ lateral plate after treatment with addition of a medial locking plate and autogenous bone grafting, and (2) the frequency and types of complications associated with this treatment. Methods Between 2007 and 2013, we treated 22 patients for 23 distal femoral nonunions, dened as an unhealed Distal Femoral Osteotomy for Patella Luxation Veterian KeyJun 13, 2021 · 22.4.1 Technique 1:Medial or Lateral Femoral Plating with Jig Assistance by IG Holsworth. Once the chosen femoral and stifle approach is completed and the cranial surface of both the intraarticular and mid to distal femoral shaft is exposed, the intraoperative ostectomy planning can begin (Figure 22.1). Distal Femur Fractures - Trauma - Orthobulletsanatomical axis of the distal femur is 6-11 degrees of valgus. medial condyle extends more distal than lateral. distal femur becomes trapezoidal in cross-section towards the knee. lateral cortex of femur slopes ~10 degrees, medial cortex slopes ~25 degrees in the axial plane.
Anatomic Lateral Distal Femoral Angle (aLDFA) is 80-84 degrees Knee is in 6-10 degrees of valgus . Applied Anatomy and Pathoanatomy . Influence of soft Due to trapezoidal shape of the distal femur Erroneous plate placement can cause malreduction . Retrograde IM nail Minimally invasive Good option for distal LCP Condylar Plate 4.5/5.0. Part of the LCP Periarticular most distal 5.0 mm screw holes in the head of the plate are parallel to the femoral joint axis. that the plate is properly oriented on the condyle under lateral C-Arm image. Because the shaft of the femur is frequently out of alignment with the distal fragment, proper LCP DF and PLT. Plate system for distal femur and Plate system for distal femur and proximal lateral tibia. Anatomically precontoured low profile plates Reduced soft tissue problems No need for plate contouring Note:Excessive and repetitive bending is not recommended as it may weaken the plate. LCP combi-holes Combine a dynamic compression unit (DCU) hole with a locking screw hole
Lateral opening-wedge distal femoral osteotomy was less accurate in correction of valgus deformity than expected, but the procedure was associated with improved knee pain and function scores. Our clinical and radiographic results are comparable to published series evaluating medial closing-wedge distal femoral osteotomy. ORIF - blade plateAs the plate comes to within 1.5 cm of the lateral femoral cortex, the blade plate insertion device is removed. At this point, the final insertion of the blade is performed using the impactor. Securing the plate to the distal femur At least one additional screw is inserted into the distal femoral articular block.AxSOS 3 ium Distal Lateral Femur Locking Plate As you insert the plate, use the plate to feel the femur to confirm a direct lateral position, not anterior or posterior to the femoral shaft . The proper position is achieved. when the distal and anterior margin of the plate is approximately 5mm10mm from the articular surface (fig. 9, page 10).