What question did this study set out to answer?

This review aims to evaluate the effectiveness and complications associated with different fixation methods for distal femur fractures.

April 23, 2026Applied SciencesOpen Access

Distal Femur Fractures: Nail, Plate or Both? A Systematic Review

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Authors

MBMarco BarbalisciaUniversità Cattolica del Sacro Cuore GCGiacomo CapeceUniversità Cattolica del Sacro Cuore EGEmidio Di GialleonardoUniversità Cattolica del Sacro Cuore

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Implication

This systematic review compares clinical outcomes of fixation methods for distal femur fractures, suggesting nail-plate constructs may improve union rates but with higher infection risk.

Key Points

This review aims to evaluate the effectiveness and complications associated with different fixation methods for distal femur fractures.
Systematic review following PRISMA guidelines of studies on distal femur fracture management.
Ten retrospective studies with 397 patients were analyzed, focusing on surgical techniques and outcomes.
Data on patient demographics, fracture types, union rates, and complications were collected and summarized.
Union rates were higher in the nail-plate construct group, with some studies reporting 100% union compared to 72-96.7% in single-implant groups.
Infection was the most common complication in nail-plate constructs, while delayed union was more frequent in single-implant constructs.
Patient comorbidities were inconsistently reported and may have impacted complication patterns.

Cite This Study

Barbaliscia et al. (2026) studied this question.

synapsesocial.com/papers/69e9b9a285696592c86ec385 https://doi.org/10.3390/app16084013

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Implication

This systematic review compares clinical outcomes of fixation methods for distal femur fractures, suggesting nail-plate constructs may improve union rates but with higher infection risk.

Distal Femur Fractures: Nail, Plate or Both? A Systematic Review

Discussion

Member takes

Implication

Key Points

Cite This Study

Distal Femur Fractures: Nail, Plate or Both? A Systematic Review

Discussion

Member takes

Implication

Key Points

Cite This Study

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