COA/AOA: Locked plates versus retrograde nails in distal femur fracture treatment .
Locked plating vs retrograde nailing for distal femur fractures: a multicenter randomized trial
126 patients, ranging from 16-90 years of age, with fracture of the distal femur were randomized to internal fixation through either locked plating or retrograde intramedullary nailing. Participants were followed-up for 12 months for radiographic, functional, and physical outcomes. Both methods of internal fixation demonstrated a comparable rate of malalignment, although plating was associated with a greater frequency of valgus deformity>5 degrees. Functional outcomes did not significantly differ between groups over the one year follow-up.
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