Management of Complex Distal Femur Fractures: Comparative Study between Ilizarov External Fixation and Double Plating

Abstract

A review of the literature coupled with our own experience, reveals that The advantage of applying double plating is complete and anatomical reconstruction of these severe injuries, facilitation of preliminary K-wire fixation from all directions around the distal end of femur, comfortable application of the medial plate, ideal fixation of medial and lateral Hoffa fractures, complete grafting of bony defects at all locations with good impaction with good functional results. Both Ilizarov external fixation and open reduction internal fixation by double plating are effective methods for management of comminuted distal femur fractures. Postoperative early ROM is very important for successful completion of treatment and achieving good functional outcome.