NCT07381725

Single Lateral Plate Versus Double Plating for the Fixation of Distal Femoral Fractures

A Comparative Analysis of Single Lateral Plate Versus Double Plating for the Fixation of Distal Femoral Fractures: A Randomized Clinical Trial

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 38 (actual)
• Sponsor: Beni-Suef University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This trial aimed to provide Level I evidence on the comparative effectiveness, safety, and functional outcomes of single versus double plating for distal femoral fractures.

Detailed description

Distal femoral fractures, particularly those with metaphyseal comminution, present a significant surgical challenge with high risks of nonunion, malalignment, and functional impairment. The single lateral locking plate (SLP) is a common fixation method but may lack sufficient stability in complex fractures, leading to varus collapse. Dual plating (lateral and medial plates) offers enhanced biomechanical stability but involves greater surgical invasiveness.

Conditions

• Single Lateral Plate
• Double Plating
• Fixation
• Distal Femoral Fractures

Interventions

Type	Name	Description
PROCEDURE	Single lateral distal femoral locking compression plate	Patients underwent open Reduction and Internal Fixation (ORIF) using a single pre-contoured lateral distal femoral locking compression plate via a standard lateral approach.
PROCEDURE	Double Plating	Patients underwent open Reduction and Internal Fixation (ORIF) using a lateral distal femoral locking plate combined with a medial buttress plate (3.5mm reconstruction plate) via an anterolateral approach with subvastus medial dissection.

Timeline

• Start date: 2024-10-02
• Primary completion: 2025-10-02
• Completion: 2025-10-02
• First posted: 2026-02-02
• Last updated: 2026-02-02

Locations

1 site across 1 country: Egypt