Outcomes of Distal Femur Non-Union Following Lateral
Locked Plating Treated withan Addition of A Medial
Locking Plate and Autogenous Bone Graft
Volume 4 - Issue 3
Avtar Singh MS, Rajeev Vohra MS, Babaji Thorat DNB*, Sudhanshu Bansal DB, Anil Naikwadi DNB, and Dharmesh
Patel DNB
- Department of Orthopaedic Surgery, Amandeep Hospital,India
Received: July 21, 2020; Published: August 21, 2020
Corresponding author:Dr. Babaji Thorat, Department of Orthopaedic Surgery, Amandeep Hospital, India
DOI: 10.32474/OSMOAJ.2020.04.000187
Abstract
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Abstract
Background: Distal femur non-unions are difficult to treat and can result in chronic pain, significant disability as well as delayed
return to preinjury activity functional status. Addition of medial locking plate and autogenous bone grafting adds biomechanical
stability, prevents varus collapse and implant failure, and decreases the morbidity associated with non-union. We evaluated results
of addition of medial locking plate and bone grafting in aseptic distal femur non-union with stable lateral implant.
Methods: Between 2009 and 2019, we retrospectively reviewed 14 cases of clinically and radiologically established aseptic
distal femur non-union treated by single stage procedure involving addition of medial locking plate and autogenous bone grafting.
The fractures were classified according to the AO classification system was used for distal femur fractures. Patients were regularly
followed-up for a minimum period of 12 months for clinico-radiological signs of union, functional outcome and any complications
associated with it.
Conclusion: Timely medial locking plate augmentation and bone grafting done is an effective procedure to achieve union and
prevent failure of the already present lateral implant in distal femur nonunion
Level of Evidence: Therapeutic Level III.
Keywords: Distal Femur Fracture; Non-Union; Medial Plating; Autogenous Bone Grafting
MeSH Terms: Osteosynthesis, Distal Femur, Non-Union, Plates, Bone Graft
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