Locked Plating Versus Retrograde Intramedullary Nailing in The Surgical Fixation of Periprosthetic Supra-condylar Knee Fractures: An Updated Systematic and Meta-Analysis Review

Meta-analysist to evaluate impact of Surgical Methods on Outcomes in periprosthetic supracondylar knee fracture management. This study examines the rate of functional outcomes and complications associated with two distinct surgical methods for the management of periprosthetic supracondylar knee fractures in patients treated with Low Contact Locking Plates (LCP) and Retrograde Intramedullary Nails (RIMN). With the growing prevalence of total knee replacements, the incidence of periprosthetic supracondylar knee fractures has concurrently increased. While the retrograde intramedullary nail has gained recognition as a viable alternative to the locking compression plate in addressing these fractures, ongoing investigations are required to ascertain the superiority of one technique over the other. An extensive literature review was conducted in accordance with PRISMA guidelines, utilizing electronic databases through a meticulously defined search strategy. All randomized controlled trials or comparative studies meeting the inclusion criteria were evaluated using Cochrane’s collaboration tool to assess methodological quality. Functional outcomes, union rates, and complication rates were employed as criteria for evaluation and comparison. A total of seven studies were incorporated into this metanalysis provide valuable insights into the efficacy and safety of the surgical approaches currently under review. The systematic review and meta-analysis indicate no significant differences in any of the outcome measures, although further extensive studies are warranted to draw more definitive conclusions.