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COA/AOA: Locked plates versus retrograde nails in distal femur fracture treatment

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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  • Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
  • Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
  • Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
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OrthoEvidence. COA/AOA: Locked plates versus retrograde nails in distal femur fracture treatment. ACE Report. 2014;4(6):96. Available from: https://myorthoevidence.com/AceReport/Report/

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