Pitfalls in the application of distal femur plates for fractures

J Orthop Trauma. 2011 Nov;25(11):695-706. doi: 10.1097/BOT.0b013e31821d7a56.


Despite design features intended to aid the surgeon in restoring proper alignment, malunion and implant-related problems are relatively common after a distal femur fracture treated with plate fixation. This article presents case examples of these problems followed by a discussion of the relevant distal femoral anatomy, design features of modern locked distal femur plating systems, and technical points necessary to avoid malunion and implant-related problems when using these devices.

MeSH terms

  • Bone Plates*
  • Femoral Fractures / pathology
  • Femoral Fractures / surgery*
  • Femur / pathology
  • Fracture Fixation, Internal / instrumentation*
  • Fracture Fixation, Internal / methods
  • Fractures, Malunited / prevention & control
  • Humans
  • Postoperative Complications
  • Prosthesis Design
  • Prosthesis Failure