Technical Trick: Dual Plating With Medial Twist Plate of Distal Femur Fractures

Summary: We present a surgical technique for dual plating of distal femur fractures. This technique consists of standard lateral condylar locked plating combined with a medial plate contoured such that the distal part of the plate rests directly medial, while the proximal portion of the plate lies in the anterior compartment. By using a medial “twist” plate, this technique obviates risk to proximal femur vascular anatomy and provides an option for dual plating in distal femur fractures requiring long segment medial fixation.