the treatment is difficult due to frequent severely comminuted fragments or intra articular frcture as well as associated soft tissue damage. These fractures occur in the elderly population with osteoporosis, similar to the pattern of fractures due to high-energy damage that occurs in young age groups. In elderly patients, double plate fixation for distal femoral fractures is an useful method for several advantages such as adequate exposure, easy manipulation, anatomical reduction and stable fixation.ĭistal femoral fractures account for 1% of all fractures and 4–6% of femoral fractures, and the incidence is increasing in proportion to aging. The clinical and radiological outcomes were similar in the 2 groups. There was no significant statistical difference between the two groups in the Lysholm knee score ( p = 0.44) and knee society score ( p = 0.53). ![]() One case in group B required bone grafting after 5 months. The average procedure time was 81 min (66–92 min) and 110 min (95–120 min) in groups A and B, respectively ( p = 0.33). All patients were evaluated for procedure duration, time to union, range of knee motion, Lysholm knee score, and presence of complications. The mean patient age was 77 years (67–87 years) and 76 years (64–86 years) in groups A and B, respectively. Group B consisted of 40 patients who underwent double-plate fixation. Group A consisted of 42 patients who underwent single-plate fixation. We performed a retrospective study of 82 cases of distal femoral fractures from May 2004 to June 2018. We evaluated the radiologic and clinical outcomes of a lateral incision single plate with and a single-incision double plating in elderly patients with osteoporotic distal femoral fractures.
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