Academic literature on the topic 'Comminuted Distal Femur Fractures'

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Journal articles on the topic "Comminuted Distal Femur Fractures"

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Prakash, Ayush, Sanjay Kumar, Rohit Nath, and Sanavvar Ali. "Functional and Radiological Outcomes after Locking Plate Fixation of AO Type 33C Distal Femur Fractures." Journal of Orthopaedic Case Reports 15, no. 2 (2025): 275–82. https://doi.org/10.13107/jocr.2025.v15.i02.5306.

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Introduction: Treatment of supracondylar and intercondylar fractures of the distal femur has historically been difficult. These fractures are often unstable and comminuted and tend to occur in the elderly or in patients with multiple injuries. Objective: The purpose of the study is to assess the functional and radiological outcome of locking plate fixation in AO type 33C distal femur fractures. Materials and Methods: A total of 49 patients with distal femoral fractures were operated by open reduction with internal fixation with a distal femur-locking compression plate (LCP) through the standar
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Gemayel, Anthony, Matthew J. Yousif, William Padget, and Joseph Finch. "Distal Femoral Replacement Following an Intraoperative Periprosthetic Fracture in a Patient with Prior Bone Mulch ACL Reconstruction." Case Reports in Orthopedics 2019 (March 31, 2019): 1–5. http://dx.doi.org/10.1155/2019/6213807.

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Periprosthetic distal femur fractures can be treated nonoperatively, with open reduction and internal fixation or with more constrained prostheses. Distal femoral replacement is typically a last resort treatment option for comminuted periprosthetic or osteoporotic distal femoral fractures in patients with poor bone stock or resistant nonunions. We report the case of a 54-year-old female with a remote history of bone mulch ACL reconstruction who sustained an intraoperative comminuted bicondylar distal femur fracture during a primary total knee arthroplasty. This patient was treated with a dista
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Kale, Sachin, Shikhar Singh, Arvind Vatkar, Rohan Jayaram, Sonali Das, and Ashmit Verma. "Outcomes of Combined Distal Femur Plating and Retrograde Femur Nailing in Comminuted Distal Femur Fractures: Case Series of Seven Cases with 6 Months Follow-up." Journal of Orthopaedic Case Reports 15, no. 2 (2025): 203–8. https://doi.org/10.13107/jocr.2025.v15.i02.5284.

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Introduction: This study evaluates the functional outcomes of combining distal femur plating with retrograde femur nailing in treating comminuted distal femur fractures. Case Report: A retrospective analysis was conducted on patients treated at a tertiary health care center from January 1, 2023, to November 30, 2023. The cohort comprised patients with an average age of 54.57 years (standard deviation [SD] = 13.34) and a male-to-female ratio of 3:4. The primary outcome measure was knee range of motion (ROM). At the 1.5-month follow-up, the average knee flexion was 54° (SD = 13.46). This improve
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Burtsev, Mikhail E., Aleksandr V. Frolov, Aleksei N. Logvinov, Dmitry O. Ilyin, and Andrey V. Korolev. "Surgical treatment of comminuted intraarticular distal femur fracture in patient with osteogenesis imperfecta type I." Pediatric Traumatology, Orthopaedics and Reconstructive Surgery 7, no. 1 (2019): 87–96. http://dx.doi.org/10.17816/ptors7187-96.

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Aim. Osteogenesis imperfecta (OI) is characterized by bone fragility and long bones deformities. Most studies are dedicated to surgical treatment of diaphyseal fractures. To our knowledge, there are no reports giving recommendations about surgical treatment of distal femur intraarticular fractures.
 Clinical case. We describe the surgical treatment of a 14-year-old girl with OI who had intraarticular fracture of the left distal femur and fracture of a right femur diaphysis. Surgical treatment was complicated by migration of a titanium elastic nail and impaired consolidation, which had to
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Pandey, K. K., Ashok Vidyarthi, and Naveen Kumar Cholak. "ASSESMENT OF FUNCTIONAL OUTCOME OF DUAL PLATING FOR COMMINUTED DISTAL FEMUR FRACTURE." International Journal of Advanced Research 11, no. 04 (2023): 1300–1312. http://dx.doi.org/10.21474/ijar01/16792.

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Background-Distal femur fractures are commonlyassociated with severemetaphysealcomminution and significant soft tissue injury.Locking plating is one of the best and modern options for treating supracondylar femur fractures with relatively low failure rates. Single lateral plating of distal femur fractures was often found to have a relatively higher failure. A medial platingin addition to lateral plating reduces the chances of failure of fixation and prevents varus collapse.The purpose of this study is toAssessment of Functional Outcome of Dual Plating For Comminuted Distal Femur Fracture. Mate
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Daroch, Manjit S., Deepak Vashisht, and Sanjeev Sreen. "Management of intra-articular fracture of distal femur with LCP and Lag screws in adults." International Journal of Research in Medical Sciences 5, no. 4 (2017): 1434. http://dx.doi.org/10.18203/2320-6012.ijrms20171241.

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Background: Accurate reconstruction of articular surface of distal femur by closed manipulation is not possible. The recent trend for displaced intra-articular fractures of the distal femur is open reduction and stable osteosynthesis with early rehabilitation. The best exposure is achieved through Swashbuckler approach with good results. Purpose of the study was to review the surgical management with LCP and lag screws of complex and most challenging intra-articular fracture of distal femur.Methods: 30 cases of intra-articular fractures of distal femur were treated with LCP and Lag screws in a
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Ravindra B Gunaki, Chitresh Mehta, Rahul Sharma, and Swapnil Chitnavis. "Study of outcome of knee joint in patients with fracture distal femur versus fracture ipsilateral femur and tibia." International Journal of Research in Pharmaceutical Sciences 12, no. 2 (2021): 1174–81. http://dx.doi.org/10.26452/ijrps.v12i2.4651.

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The posture on the two wheeler at the speed we travel, makes knee the vulnerable joint of all in any of the mishaps. We as orthopedic surgeons see the fractures around the knee joint as one of the most studied concept in the subject. This is a prospective study conducted, over 2 years, in Krishna Institute of Medical Sciences, Deemed to be University, Karad. In this study, 20 cases of fracture distal femur and 20 cases of ipsilateral fracture femur and tibia were studied to evaluate outcome of knee joint and post surgical stabilization of fractures. The fractured limb was stabilized with splin
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Vijendra, Parmar, Tandiya Amit, Zuber Mohammad, and Jain Rahul. "Functional Outcomes of Medial Column Augmentation in Comminuted Distal Femur Fractures: A Comparative Study." International Journal of Pharmaceutical and Clinical Research 15, no. 8 (2023): 1400–1404. https://doi.org/10.5281/zenodo.11522046.

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<strong>Background:</strong>&nbsp;Distal femoral fractures, often caused by high-energy incidents, present challenges due to comminution and subsequent complications. Non-union of the femur, resulting from factors like severe open fractures, infections, or implant failures, leads to functional limitations and reduced quality of life. Commonly, open reduction and internal fixation (ORIF) methods are employed, utilizing various devices such as locking plates, condylar screws, blade plates, and intramedullary nails. Deformities arising from distal femur fractures demand anatomical reconstruction.
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Kulkarni, Sunil, Saurabh R. Supare, Anjan Nadange, Rohith Garimella, and Pranit Pawaskar. "Double-plating approach in the management of isolated distal femoral fractures." International Journal of Research in Orthopaedics 9, no. 1 (2022): 77. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20223442.

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&lt;p&gt;&lt;strong&gt;Background&lt;/strong&gt;: Fractures above 9 cm of the articular surface of distal femur are defined as distal femoral fractures which accounts for an estimated 4%-6% of all femur fractures. Stable fixation can be achieved by dual plating of distal femoral fracture. The indications of a dual- lateral and medial plate medial are comminuted distal femur fractures (AO type C3), medial supra-condylar void and bone loss of more than 3 cm, medial Hoffa fracture, inter-condylar comminuted bicondylar fractures, non-union after failed fixation with single lateral plate, poor bone
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Cui, Shari, J. G. Bledsoe, Heidi Israel, J. T. Watson, and Lisa K. Cannada. "Locked Plating of Comminuted Distal Femur Fractures." Journal of Orthopaedic Trauma 28, no. 2 (2014): 90–96. http://dx.doi.org/10.1097/bot.0b013e31829f9504.

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Dissertations / Theses on the topic "Comminuted Distal Femur Fractures"

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Koller, Ian M. "Locking plates for distal femur fractures does an increased working length improve healing?" Master's thesis, University of Cape Town, 2013. http://hdl.handle.net/11427/2844.

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Includes abstract.<br>Includes bibliographical references.<br>Distal femur locking plates have become a very popular means of internal fixation because of their ability to provide stable distal periarticular fixation. In spite of this enthusiasm however several studies have reported significant problems with healing. In the distal femur it is recognized that locking plate fixation may be too rigid if used in certain configurations that limit the essential micro movement required for biological healing. Implant failure may arise from rigid configurations that cause excessive hardware stress con
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Jian, Hsin Yi, and 簡欣儀. "Biomechanical Study of Distal Femur Comminuted Fracture Treated with Locking Plate: Effects of Screw Fixation Technique and Plate Working Length." Thesis, 2018. http://ndltd.ncl.edu.tw/handle/4s6gn8.

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Hayes, Nicholas Lewis. "Effectiveness of surgical versus conservative treatment for distal femoral growth plate fractures: a systematic review." Thesis, 2018. http://hdl.handle.net/2440/115160.

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Injury to the distal femoral growth plate in children is typically due to a high-energy trauma such as contact sports or motor vehicle accidents. There is no clear evidence as to whether surgery or application of a plaster or splint is the best option for these injuries in terms of growth arrest and growth deformity. Different graded distal femur physeal fractures are known to be associated with poorer outcomes. The objective of this review was to determine whether surgery, in comparison to conservative treatment, is a safe and effective intervention for the management of distal femoral growt
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Books on the topic "Comminuted Distal Femur Fractures"

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(Matthias), Rapp M., and SpringerLink (Online service), eds. The Double Dynamic Martin Screw (DMS): Adjustable Implant System for Proximal and Distal Femur Fractures. Steinkopff, 2008.

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Hughes, Jim. Distal femur and knee. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198813170.003.0014.

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The knee is one of the main load-bearing joints of the body, and injuries to it can involve damage to the joint or articular surfaces, or fractures to the long bones in case of high-energy trauma. The position of the contralateral leg can cause difficulty in positioning for imaging, but good positioning and technique should allow demonstration of the region for intervention. This chapter covers a selection of orthopaedic procedures involving the distal femur and knee, covering distal femoral plating and LISS plates, tension band wiring of the patella, and cerclage wiring of the patella. Each p
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Rapp, Matthias, and Karl-Klaus Dittel. Double Dynamic Martin Screw: Adjustable Implant System for Proximal and Distal Femur Fractures. Steinkopff, Dietrich, 2016.

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Hollinghurst, David. Injuries of the femur and patella in children. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.014009.

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♦ There is considerable scope for remodelling in the child’s femur♦ Significant overgrowth may correct shortening after a fracture♦ Below the age of 5 years femoral fractures may be treated non-operatively in a spica or with traction; above the age of 11 years surgical stabilization of the fracture will normally be needed♦ Flexible intramedullary nails have largely replaced external fixators♦ Fractures involving the distal femoral physis need careful treatment and follow-up as they may lead to significant growth arrest♦ Osteochondral fractures accompany a proportion of acute patella dislocatio
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Book chapters on the topic "Comminuted Distal Femur Fractures"

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Iobst, Christopher. "Comminuted Type I Open Distal Femur Fracture." In Limb Lengthening and Reconstruction Surgery Case Atlas. Springer International Publishing, 2014. http://dx.doi.org/10.1007/978-3-319-02767-8_95-1.

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Iobst, Christopher. "Comminuted Type I Open Distal Femur Fracture." In Limb Lengthening and Reconstruction Surgery Case Atlas. Springer Nature Switzerland, 2024. https://doi.org/10.1007/978-3-031-77359-4_95.

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Iobst, Christopher. "Case 3: Comminuted Type I Open Distal Femur Fracture." In Limb Lengthening and Reconstruction Surgery Case Atlas. Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-18023-6_95.

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Mizuno, Kosaku. "Segmental Comminuted Open Supracondylar Fracture of the Distal Femur." In Joint Surgery Up to Date. Springer Japan, 1989. http://dx.doi.org/10.1007/978-4-431-68096-3_10.

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Hodax, Jonathan D. "Distal Femur Fractures." In The Orthopedic Consult Survival Guide. Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-52347-7_42.

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Krijnen, Matthijs R., J. Carel Goslings, and Rudolf W. Poolman. "Distal Femur Fractures." In Evidence-Based Orthopedics. Wiley-Blackwell, 2011. http://dx.doi.org/10.1002/9781444345100.ch59.

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Berner, Arne, and Michael Schütz. "Distal Femur Fractures." In Bone and Joint Injuries. Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-38388-5_22.

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Trikha, Vivek, and Anupam Gupta. "Distal Femur Fractures." In Handbook of Orthopaedic Trauma Implantology. Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-15-6278-5_81-1.

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Krettek, Christian. "Distal Femur Fractures." In Orthopaedics and Trauma. Springer International Publishing, 2024. http://dx.doi.org/10.1007/978-3-031-30518-4_40.

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Aneja, Arun, and Matt L. Graves. "Distal Femur Fractures." In Encyclopedia of Trauma Care. Springer Berlin Heidelberg, 2015. http://dx.doi.org/10.1007/978-3-642-29613-0_646.

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Conference papers on the topic "Comminuted Distal Femur Fractures"

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Salas, Christina, Deana Mercer, Thomas A. DeCoster, and Mahmoud M. Reda Taha. "Experimental and Probabilistic Finite Element Analysis of Distal Femoral Fractures: A Comparison of Locking Plate Versus Intramedullary Nail Fixation." In ASME 2010 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2010. http://dx.doi.org/10.1115/sbc2010-19303.

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In the treatment of unstable, distal, metaphyseal femoral fractures, surgeons have multiple implant options for fixation. Biomechanical studies of intramedullary nailing systems and locking plates have shown that both systems achieve stable fixation of the fracture to allow healing.1–3 These systems are indicated for comminuted fractures, non-unions, and osteoporotic bone where distal femur fractures are associated with a 20% mortality rate in elderly individuals.4 Though capable of achieving stable fixation, both locking and non-locking plates have been associated with periprosthetic fracture
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Assari, Soroush, Alan Kaufman, Kurosh Darvish, et al. "Locked Plating Versus Spiral Blade Retrograde Nailing in Supracondylar Femoral Fractures." In ASME 2012 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2012. http://dx.doi.org/10.1115/sbc2012-80605.

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Comminuted supracondylar femur fractures in the elderly are often treated with either retrograde femoral nailing or locked plating. Early weight-bearing is typically restricted after fixing supracondylar fractures, thereby impairing the patient’s mobilization. In general, surgeons are more comfortable allowing early weight-bearing of long bone fractures after nailing rather than plating, but early studies of retrograde nails for supracondylar fractures using standard distal locking showed poor fixation compared with locked plating.
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Patel, Bipin, Peter A. Gustafson, and James Jastifer. "Stiffness of Locking and Conventional Plates in Fixation of Distal Fibula Fractures: A Finite Element Study." In ASME 2010 International Mechanical Engineering Congress and Exposition. ASMEDC, 2010. http://dx.doi.org/10.1115/imece2010-40729.

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The objective of this study is to establish and differentiate the stiffness of conventional and fixed angle screw constructs for the treatment of distal fibula fractures. Two plate types are examined; a fibular neutralization plate and a lateral periarticular distal fibular plate with fixed angle (locked) screws. The neutralization plate is considered with two construct types; conventional and locked screws. Several comparisons were made to differentiate the stiffness of the plate constructs. First, the neutralization plate is examined with conventional and locked screws when used for fixation
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Kralovic, Barbara J., Fred A. Wentorf, and Dan L. Levine. "Using a Finite Element Model to Help Develop a Method to Test Knee Femoral Components." In ASME 2008 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2008. http://dx.doi.org/10.1115/sbc2008-191150.

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In total knee arthroplasty (TKA), the knee femoral component replaces the bone surfaces and cartilage on the distal femur (thigh bone) that have been damaged due to injury or disease. While success rates are high with TKA, some fractures of the femoral component have occurred clinically (Fig. 1 and 2) [1]. Understanding the nature of these fractures is critical since the industry is moving towards bone conserving designs, minimally invasive approaches, new materials and new technologies for TKA. At the same time patient requirements are changing as patients are heavier, younger, and more activ
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Liu, X. Sherry, Adi Cohen, Perry T. Yin, et al. "Relationships Between Stiffness of Human Distal Tibia, Distal Radius, Proximal Femur, and Vertebral Body Assessed by HR-pQCT and cQCT Based Finite Element Analyses." In ASME 2009 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2009. http://dx.doi.org/10.1115/sbc2009-205457.

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High-resolution peripheral quantitative computed tomography (HR-pQCT) is a promising clinical tool that permits separate measurements of trabecular and cortical bone compartments at the distal radius and tibia. It has an isotropic voxel size of 82 μm, which is high enough to assess the fine microstructural details of trabecular architecture. HR-pQCT images can also be used for building microstructural finite element (μFE) models to estimate the mechanical competence of whole bone segments. Melton et al. showed that derived bone strength parameters (axial rigidity and fall load to failure load
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Kralovic, Barbara J., J. Craig Fryman, and Serene Longsworth. "Predicting the Stresses and Displacements in Femoral Intramedullary Nails and Screws Using a Finite Element Model." In ASME 2007 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2007. http://dx.doi.org/10.1115/sbc2007-172280.

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A femoral intramedullary nail is a metal rod which is inserted into the femoral canal to stabilize fractures of the long bone. The retrograde femoral nail is a type of intramedullary nail which is inserted at the distal end of the long bone and is typically used for distal femur fractures. While the success rates are high, some complications still exist, including failure of the nail through the screw holes, failure or loosening of screws, and bone fracture [1]. There are many design variables that affect clinical performance including the implant material, nail and screw diameters, the number
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Eap, Laurent, and A. Sherif El-Gizawy. "Study on the Effects of Femoral Muscle Forces on Performance of Internal Fixation Devices Utilizing a Simulation Based Approach." In ASME 2013 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/imece2013-64926.

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Fractures of the distal femur are severe traumatic injuries that are treated with the utilization of internal fixation devices. Current preclinical device designs have primarily been investigated without observance of femoral muscle group effects — in addition to joint hip reaction forces — and irregular geometry of the human femora. This has led to a need to optimize the performance and fit of internal fixation devices to produce maximal reliability and structural integrity. The present study utilizes a systematic design approach that employs computer-aided modeling, robust design methodology
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Arnone, Joshua C., A. Sherif El-Gizawy, Brett D. Crist, Gregory J. Della Rocca, and Carol V. Ward. "An Integrated Computer-Aided Engineering Approach for Parametric Investigation of Locked Plating Systems Design." In ASME 2010 International Mechanical Engineering Congress and Exposition. ASMEDC, 2010. http://dx.doi.org/10.1115/imece2010-39822.

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Locked plating systems have emerged in recent years as effective devices for treating and stabilizing femoral fractures. Nevertheless, clinical failures due to plate yielding and fracture have been observed — particularly with distal femoral plates. The majority of failures are attributed to improper placement, fixation techniques, or plate selection, and to premature weight-bearing by the patient. While the mechanical function of plating systems is well-understood, the optimum design parameters that lead to efficient stability and fracture healing, such as plate geometry, material properties,
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