What question did this study set out to answer?

To compare the clinical, functional, and radiologic outcomes of single lateral plating versus double plating in patients with distal femoral fractures.

August 20, 2026Current Orthopaedic Practice

A comparative analysis of single lateral plate versus double plating for the fixation of distal femoral fractures: a randomized clinical trial

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Authors

MAMohamed AbdelkaderBeni-Suef University HAHossam Abdelsattar

Discussion

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Implication

Randomized trial reveals distinct trade-offs between single and double plating for distal femoral fractures, indicating treatment should be individualized.

Key Points

To compare the clinical, functional, and radiologic outcomes of single lateral plating versus double plating in patients with distal femoral fractures.
Randomized trial allocating 32 patients with AO A1–C3 distal femoral fractures to single lateral plating (Group I, n=16) or double plating (Group II, n=16).
Evaluated time to union, range of motion (ROM), Knee Society Score (KSS), blood loss, and complications over a mean follow-up of 42.80±6.84 weeks.
Time to radiologic union was 13.25 weeks in both groups, with comparable stability, alignment, and complication rates.
Single lateral plating yielded significantly greater mean ROM (105.31±14.77° vs. 93.37±16.62°, P=0.040) and lower blood loss (684.38±155.69 mL vs. 856.25±191.37 mL, P=0.009).
Double plating produced a significantly higher rate of 'excellent' KSS functional ratings compared to single plating (43.8% vs. 6.3%, P=0.044).

Cite This Study

Abdelkader et al. (2026) studied this question.

synapsesocial.com/papers/6a86b57f8a91293e6a1cce08 https://doi.org/10.1097/bco.0000000000001379

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August 20, 2026Current Orthopaedic Practice

A comparative analysis of single lateral plate versus double plating for the fixation of distal femoral fractures: a randomized clinical trial

View Full Paper

Ask AI

Bookmark

Authors

MAMohamed AbdelkaderBeni-Suef University HAHossam Abdelsattar

Discussion

Member takes

Implication

Randomized trial reveals distinct trade-offs between single and double plating for distal femoral fractures, indicating treatment should be individualized.

Key Points

To compare the clinical, functional, and radiologic outcomes of single lateral plating versus double plating in patients with distal femoral fractures.
Randomized trial allocating 32 patients with AO A1–C3 distal femoral fractures to single lateral plating (Group I, n=16) or double plating (Group II, n=16).
Evaluated time to union, range of motion (ROM), Knee Society Score (KSS), blood loss, and complications over a mean follow-up of 42.80±6.84 weeks.
Time to radiologic union was 13.25 weeks in both groups, with comparable stability, alignment, and complication rates.
Single lateral plating yielded significantly greater mean ROM (105.31±14.77° vs. 93.37±16.62°, P=0.040) and lower blood loss (684.38±155.69 mL vs. 856.25±191.37 mL, P=0.009).
Double plating produced a significantly higher rate of 'excellent' KSS functional ratings compared to single plating (43.8% vs. 6.3%, P=0.044).

Cite This Study

Abdelkader et al. (2026) studied this question.

synapsesocial.com/papers/6a86b57f8a91293e6a1cce08 https://doi.org/10.1097/bco.0000000000001379

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