Management of Distal Femur Fracture with Dual Plating using Anterolateral and Medial Approach: A Case Series

Dual plating of distal femoral fractures is indicated in a supracondylar bone loss, trans-bi-condylar fractures, Hoffa fracture, periprosthetic femur fractures, non union after failed fixation using single plating, osteoporotic bone quality, and AO type C3 comminuted distal femur fractures. Ten patients (7 males and 3 females) came to the emergency department with a history of a roadside accident. Based on clinical history and radiographic evaluation, a diagnosis of AO type C3 distal femoral fracture was made. All were treated using dual plating via anterolateral and medial approaches. Mean operative time was 200±40 minutes. Overall, the patient outcome was favourable. The majority of patients (70%) had a good range of motion (>90°). Dual plating allows for better exposure, easy manipulation, and biomechanical stability, as well as congruous reduction of the fracture.