Stoffel Karl, Sommer Christoph, Lee Mark, Zhu Tracy Y, Schwieger Karsten, Finkemeier Christopher
Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland.
Department of Surgery, Kantonsspital Graubuenden, Chur, Switzerland.
EFORT Open Rev. 2022 Apr 21;7(4):274-286. doi: 10.1530/EOR-21-0113.
For complex distal femoral fractures, a single lateral locking compression plate or retrograde intramedullary nail may not achieve a stable environment for fracture healing. Various types of double fixation constructs have been featured in the current literature. Double-plate construct and nail-and-plate construct are two common double fixation constructs for distal femoral fractures. Double fixation constructs have been featured in studies on comminuted distal femoral fractures, distal femoral fracture with medial bone defects, periprosthetic fractures, and distal femoral non-union. A number of case series reported a generally high union rate and satisfactory functional outcomes for double fixation of distal femoral fractures. In this review, we present the state of the art of double fixation constructs for distal femoral fractures with a focus on double-plate and plate-and-nail constructs.
对于复杂的股骨远端骨折，单一侧方锁定加压钢板或逆行髓内钉可能无法为骨折愈合提供稳定的环境。目前的文献中介绍了各种类型的双固定结构。双钢板结构和钉板结构是股骨远端骨折两种常见的双固定结构。双固定结构已在有关粉碎性股骨远端骨折、伴有内侧骨缺损的股骨远端骨折、假体周围骨折以及股骨远端骨不连的研究中有所报道。一些病例系列报告称，股骨远端骨折双固定的愈合率普遍较高，功能结果令人满意。在本综述中，我们介绍了股骨远端骨折双固定结构的最新进展，重点是双钢板和钉板结构。
