{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T04:51:01Z","timestamp":1768625461348,"version":"3.49.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/deed.de"},{"start":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T00:00:00Z","timestamp":1757376000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/deed.de"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1007\/s00113-025-01629-z","type":"journal-article","created":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T14:33:48Z","timestamp":1757428428000},"page":"887-899","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Biphasic Plate \u2013 kontrollierte Instabilit\u00e4t in der Frakturheilung","Biphasic plate\u2014Controlled instability in fracture healing"],"prefix":"10.1007","volume":"128","author":[{"given":"Christoph","family":"Sommer","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz","family":"Lodde","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ladina","family":"Hofmann-Fliri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Raschke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"key":"1629_CR1","unstructured":"- A Biofeedback System for Continuous Monitoring of Bone Healing Proceedings of the International Conference on Biomedical Electronics and Devices. SCITEPRESS\u2014Science and and Technology Publications, S\u00a0243\u2013248"},{"key":"1629_CR2","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2018\/32217.11325","author":"S Agarwal","year":"2018","unstructured":"Agarwal\u00a0S, Udapudi\u00a0S, Gupta\u00a0S (2018) To Assess Functional Outcome for Intra-Articular and Extra-Articular Distal Femur Fracture in Patients using Retrograde Nailing or Locked Compression Plating. JCDR. https:\/\/doi.org\/10.7860\/JCDR\/2018\/32217.11325","journal-title":"JCDR"},{"issue":"1","key":"1629_CR3","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/s10195-019-0528-0","volume":"20","author":"P Andrzejowski","year":"2019","unstructured":"Andrzejowski\u00a0P, Giannoudis\u00a0PV (2019) The \u201adiamond concept\u2018 for long bone non-union management. J\u00a0Orthop Traumatol 20(1):21. https:\/\/doi.org\/10.1186\/s10195-019-0528-0","journal-title":"J Orthop Traumatol"},{"key":"1629_CR4","doi-asserted-by":"publisher","first-page":"116834","DOI":"10.1016\/j.bone.2023.116834","volume":"175","author":"J Barcik","year":"2023","unstructured":"Barcik\u00a0J, Ernst\u00a0M, Buchholz\u00a0T, Constant\u00a0C, Mys\u00a0K, Epari\u00a0DR, Zeiter\u00a0S, Windolf\u00a0M (2023) The absence of immediate stimulation delays bone healing. Bone 175:116834. https:\/\/doi.org\/10.1016\/j.bone.2023.116834","journal-title":"Bone"},{"key":"1629_CR5","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1016\/j.jor.2023.02.003","volume":"37","author":"ZB Cheung","year":"2023","unstructured":"Cheung\u00a0ZB, Nasser\u00a0P, Iatridis\u00a0JC, Forsh\u00a0DA (2023) Orthogonal plating of distal femur fractures: A\u00a0biomechanical comparison with plate-nail and parallel plating constructs. J\u00a0Orthop 37:34\u201340. https:\/\/doi.org\/10.1016\/j.jor.2023.02.003","journal-title":"J Orthop"},{"issue":"1","key":"1629_CR6","doi-asserted-by":"publisher","first-page":"S4","DOI":"10.1097\/BOT.0b013e318207093e","volume":"25","author":"L Claes","year":"2011","unstructured":"Claes\u00a0L (2011) Biomechanical principles and mechanobiologic aspects of flexible and locked plating. J\u00a0Orthop Trauma 25(1):S4\u2013S7. https:\/\/doi.org\/10.1097\/BOT.0b013e318207093e","journal-title":"J Orthop Trauma"},{"issue":"8","key":"1629_CR7","doi-asserted-by":"publisher","first-page":"691","DOI":"10.1016\/j.injury.2006.04.130","volume":"37","author":"CM Court-Brown","year":"2006","unstructured":"Court-Brown\u00a0CM, Caesar\u00a0B (2006) Epidemiology of adult fractures: a\u00a0review. Injury 37(8):691\u2013697. https:\/\/doi.org\/10.1016\/j.injury.2006.04.130","journal-title":"Injury"},{"issue":"4","key":"1629_CR8","doi-asserted-by":"publisher","first-page":"297","DOI":"10.1111\/os.12199","volume":"7","author":"NA Ebraheim","year":"2015","unstructured":"Ebraheim\u00a0NA, Kelley\u00a0LH, Liu\u00a0X, Thomas\u00a0IS, Steiner\u00a0RB, Liu\u00a0J (2015) Periprosthetic Distal Femur Fracture after Total Knee Arthroplasty: A\u00a0Systematic Review. Orthop Surg 7(4):297\u2013305. https:\/\/doi.org\/10.1111\/os.12199","journal-title":"Orthop Surg"},{"issue":"1","key":"1629_CR9","doi-asserted-by":"publisher","first-page":"45","DOI":"10.1038\/nrrheum.2014.164","volume":"11","author":"TA Einhorn","year":"2015","unstructured":"Einhorn\u00a0TA, Gerstenfeld\u00a0LC (2015) Fracture healing: mechanisms and interventions. Nat Rev Rheumatol 11(1):45\u201354. https:\/\/doi.org\/10.1038\/nrrheum.2014.164","journal-title":"Nat Rev Rheumatol"},{"key":"1629_CR10","doi-asserted-by":"publisher","first-page":"110192","DOI":"10.1016\/j.jbiomech.2020.110192","volume":"115","author":"DR Epari","year":"2021","unstructured":"Epari\u00a0DR, Gurung\u00a0R, Hofmann-Fliri\u00a0L, Schwyn\u00a0R, Schuetz\u00a0M, Windolf\u00a0M (2021) Biphasic plating improves the mechanical performance of locked plating for distal femur fractures. J\u00a0Biomech 115:110192. https:\/\/doi.org\/10.1016\/j.jbiomech.2020.110192","journal-title":"J Biomech"},{"issue":"1","key":"1629_CR11","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1016\/j.ocl.2015.08.011","volume":"47","author":"AK Gangavalli","year":"2016","unstructured":"Gangavalli\u00a0AK, Nwachuku\u00a0CO (2016) Management of Distal Femur Fractures in Adults: An Overview of Options. Orthop Clin North Am 47(1):85\u201396. https:\/\/doi.org\/10.1016\/j.ocl.2015.08.011","journal-title":"Orthop Clin North Am"},{"issue":"8","key":"1629_CR12","doi-asserted-by":"publisher","first-page":"e1210","DOI":"10.3928\/01477447-20120725-21","volume":"35","author":"JD Granata","year":"2012","unstructured":"Granata\u00a0JD, Litsky\u00a0AS, Lustenberger\u00a0DP, Probe\u00a0RA, Ellis\u00a0TJ (2012) Immediate weight bearing of comminuted supracondylar femur fractures using locked plate fixation. Orthopedics 35(8):e1210\u2013e1213. https:\/\/doi.org\/10.3928\/01477447-20120725-21","journal-title":"Orthopedics"},{"issue":"10","key":"1629_CR13","doi-asserted-by":"publisher","first-page":"597","DOI":"10.5435\/00124635-201010000-00003","volume":"18","author":"FW Gwathmey","year":"2010","unstructured":"Gwathmey\u00a0FW, Jones-Quaidoo\u00a0SM, Kahler\u00a0D, Hurwitz\u00a0S, Cui\u00a0Q (2010) Distal femoral fractures: current concepts. J\u00a0Am Acad Orthop Surg 18(10):597\u2013607. https:\/\/doi.org\/10.5435\/00124635-201010000-00003","journal-title":"J Am Acad Orthop Surg"},{"issue":"6","key":"1629_CR14","doi-asserted-by":"publisher","first-page":"1757","DOI":"10.1007\/s11999-011-1870-6","volume":"469","author":"CE Henderson","year":"2011","unstructured":"Henderson\u00a0CE, Lujan\u00a0TJ, Kuhl\u00a0LL, Bottlang\u00a0M, Fitzpatrick\u00a0DC, Marsh\u00a0JL (2011) 2010 mid-America Orthopaedic Association Physician in Training Award: healing complications are common after locked plating for distal femur fractures. Clin Orthop Relat Res 469(6):1757\u20131765. https:\/\/doi.org\/10.1007\/s11999-011-1870-6","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"1629_CR15","doi-asserted-by":"publisher","first-page":"S8","DOI":"10.1097\/BOT.0b013e3182070127","volume":"25","author":"CE Henderson","year":"2011","unstructured":"Henderson\u00a0CE, Kuhl\u00a0LL, Fitzpatrick\u00a0DC, Marsh\u00a0JL (2011) Locking plates for distal femur fractures: is there a\u00a0problem with fracture healing? J\u00a0Orthop Trauma 25(1):S8\u2013S14. https:\/\/doi.org\/10.1097\/BOT.0b013e3182070127","journal-title":"J Orthop Trauma"},{"key":"1629_CR16","doi-asserted-by":"publisher","first-page":"110576","DOI":"10.1016\/j.jbiomech.2021.110576","volume":"125","author":"RW Hente","year":"2021","unstructured":"Hente\u00a0RW, Perren\u00a0SM (2021) Tissue deformation controlling fracture healing. J\u00a0Biomech 125:110576. https:\/\/doi.org\/10.1016\/j.jbiomech.2021.110576","journal-title":"J Biomech"},{"issue":"8","key":"1629_CR17","doi-asserted-by":"publisher","first-page":"1751","DOI":"10.1016\/j.injury.2020.04.032","volume":"51","author":"L Hofmann-Fliri","year":"2020","unstructured":"Hofmann-Fliri\u00a0L, Epari\u00a0DR, Schwyn\u00a0R, Zeiter\u00a0S, Windolf\u00a0M (2020) Biphasic Plating\u2014In vivo study of a\u00a0novel fixation concept to enhance mechanobiological fracture healing. Injury 51(8):1751\u20131758. https:\/\/doi.org\/10.1016\/j.injury.2020.04.032","journal-title":"Injury"},{"issue":"4","key":"1629_CR18","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1007\/s10195-012-0204-0","volume":"13","author":"AE-S Khalil","year":"2012","unstructured":"Khalil\u00a0AE\u2011S, Ayoub\u00a0MA (2012) Highly unstable complex C3-type distal femur fracture: can double plating via a\u00a0modified Olerud extensile approach be a\u00a0standby solution? J\u00a0Orthop Traumatol 13(4):179\u2013188. https:\/\/doi.org\/10.1007\/s10195-012-0204-0","journal-title":"J Orthop Traumatol"},{"issue":"2","key":"1629_CR19","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1007\/s12306-014-0343-y","volume":"99","author":"O Khursheed","year":"2015","unstructured":"Khursheed\u00a0O, Wani\u00a0MM, Rashid\u00a0S, Lone\u00a0AH, Manaan\u00a0Q, Sultan\u00a0A, Bhat\u00a0RA, Mir\u00a0BA, Halwai\u00a0MA, Akhter\u00a0N (2015) Results of treatment of distal extra: articular femur fractures with locking plates using minimally invasive approach\u2014experience with 25\u00a0consecutive geriatric patients. Musculoskelet Surg 99(2):139\u2013147. https:\/\/doi.org\/10.1007\/s12306-014-0343-y","journal-title":"Musculoskelet Surg"},{"issue":"11","key":"1629_CR20","doi-asserted-by":"publisher","first-page":"2675","DOI":"10.1007\/s00264-018-3864-4","volume":"42","author":"RE Koso","year":"2018","unstructured":"Koso\u00a0RE, Terhoeve\u00a0C, Steen\u00a0RG, Zura\u00a0R (2018) Healing, nonunion, and re-operation after internal fixation of diaphyseal and distal femoral fractures: a\u00a0systematic review and meta-analysis. Int Orthop 42(11):2675\u20132683. https:\/\/doi.org\/10.1007\/s00264-018-3864-4","journal-title":"Int Orthop"},{"issue":"2","key":"1629_CR21","doi-asserted-by":"publisher","first-page":"e64","DOI":"10.1097\/BOT.0000000000001332","volume":"33","author":"FA Liporace","year":"2019","unstructured":"Liporace\u00a0FA, Yoon\u00a0RS (2019) Nail Plate Combination Technique for Native and Periprosthetic Distal Femur Fractures. J\u00a0Orthop Trauma 33(2):e64\u2013e68. https:\/\/doi.org\/10.1097\/BOT.0000000000001332","journal-title":"J Orthop Trauma"},{"issue":"6","key":"1629_CR22","doi-asserted-by":"publisher","first-page":"1009","DOI":"10.1007\/s00402-021-03767-6","volume":"142","author":"MF Lodde","year":"2022","unstructured":"Lodde\u00a0MF, Raschke\u00a0MJ, Stolberg-Stolberg\u00a0J, Everding\u00a0J, Rosslenbroich\u00a0S, Katthagen\u00a0JC (2022) Union rates and functional outcome of double plating of the femur: systematic review of the literature. Arch Orthop Trauma Surg 142(6):1009\u20131030. https:\/\/doi.org\/10.1007\/s00402-021-03767-6","journal-title":"Arch Orthop Trauma Surg"},{"issue":"3","key":"1629_CR23","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1097\/BOT.0b013e3181be6720","volume":"24","author":"TJ Lujan","year":"2010","unstructured":"Lujan\u00a0TJ, Henderson\u00a0CE, Madey\u00a0SM, Fitzpatrick\u00a0DC, Marsh\u00a0JL, Bottlang\u00a0M (2010) Locked plating of distal femur fractures leads to inconsistent and asymmetric callus formation. J\u00a0Orthop Trauma 24(3):156\u2013162. https:\/\/doi.org\/10.1097\/BOT.0b013e3181be6720","journal-title":"J Orthop Trauma"},{"issue":"1","key":"1629_CR24","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1186\/s13018-023-03807-4","volume":"18","author":"TP Merkle","year":"2023","unstructured":"Merkle\u00a0TP, Hofmann\u00a0N, Knop\u00a0C, Da Silva\u00a0T (2023) Can elderly individuals perform partial weight bearing on their lower limbs? A\u00a0prospective cohort study using ambulatory real-time biofeedback. J\u00a0Orthop Surg Res 18(1):324. https:\/\/doi.org\/10.1186\/s13018-023-03807-4","journal-title":"J Orthop Surg Res"},{"key":"1629_CR25","doi-asserted-by":"crossref","unstructured":"Oestern H-J, Tscherne H. Pathophysiologieund Klassifikation des Weichteilschadens beiFrakturen. Orthop\u00e4de 1983; 12: 2\u20138","DOI":"10.1007\/978-3-642-81965-0_1"},{"issue":"1","key":"1629_CR26","doi-asserted-by":"publisher","first-page":"e227","DOI":"10.1097\/OI9.0000000000000227","volume":"6","author":"DC O\u2019Neill","year":"2023","unstructured":"O\u2019Neill\u00a0DC, Hakim\u00a0AJ, DeKeyser\u00a0GJ, Steffenson\u00a0LN, Schlickewei\u00a0CW, Marchand\u00a0LS, Barg\u00a0A, Haller\u00a0JM (2023) Medial and lateral dual plating of native distal femur fractures: a\u00a0systematic literature review. OTA Int 6(1):e227. https:\/\/doi.org\/10.1097\/OI9.0000000000000227","journal-title":"OTA Int"},{"key":"1629_CR27","doi-asserted-by":"publisher","first-page":"B1","DOI":"10.1016\/0020-1383(95)96891-7","volume":"26","author":"SM Perren","year":"1995","unstructured":"Perren\u00a0SM, Buchanan\u00a0JS (1995) Basic concepts relevant to the design and development of the point Contact Fixator (PC-Fix). Injury 26:B1\u2013B4. https:\/\/doi.org\/10.1016\/0020-1383(95)96891-7","journal-title":"Injury"},{"issue":"6","key":"1629_CR28","doi-asserted-by":"publisher","first-page":"304","DOI":"10.1007\/BF00636166","volume":"109","author":"SM Perren","year":"1990","unstructured":"Perren\u00a0SM, Klaue\u00a0K, Pohler\u00a0O, Predieri\u00a0M, Steinemann\u00a0S, Gautier\u00a0E (1990) The limited contact dynamic compression plate (LC-DCP). Arch Orthop Trauma Surg 109(6):304\u2013310. https:\/\/doi.org\/10.1007\/BF00636166","journal-title":"Arch Orthop Trauma Surg"},{"issue":"4","key":"1629_CR29","doi-asserted-by":"publisher","first-page":"112265","DOI":"10.1016\/j.injury.2025.112265","volume":"56","author":"D Piper","year":"2025","unstructured":"Piper\u00a0D, Qatawneh\u00a0AA, Grazette\u00a0A, Fawdington\u00a0R, Fenton\u00a0P, Cooper\u00a0J (2025) Distal locking screw migration in the depuy-synthes retrograde femoral nail-advanced\u2014an unexpected consequence of an implant upgrade. Injury 56(4):112265. https:\/\/doi.org\/10.1016\/j.injury.2025.112265","journal-title":"Injury"},{"issue":"3","key":"1629_CR30","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1097\/BOT.0000000000000282","volume":"29","author":"WM Ricci","year":"2015","unstructured":"Ricci\u00a0WM (2015) Periprosthetic femur fractures. J\u00a0Orthop Trauma 29(3):130\u2013137. https:\/\/doi.org\/10.1097\/BOT.0000000000000282","journal-title":"J Orthop Trauma"},{"issue":"3","key":"1629_CR31","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1016\/j.injury.2013.10.042","volume":"45","author":"EK Rodriguez","year":"2014","unstructured":"Rodriguez\u00a0EK, Boulton\u00a0C, Weaver\u00a0MJ, Herder\u00a0LM, Morgan\u00a0JH, Chacko\u00a0AT, Appleton\u00a0PT, Zurakowski\u00a0D, Vrahas\u00a0MS (2014) Predictive factors of distal femoral fracture nonunion after lateral locked plating: a\u00a0retrospective multicenter case-control study of 283 fractures. Injury 45(3):554\u2013559. https:\/\/doi.org\/10.1016\/j.injury.2013.10.042","journal-title":"Injury"},{"issue":"3","key":"1629_CR32","doi-asserted-by":"publisher","first-page":"SC55","DOI":"10.1016\/S0020-1383(01)00184-X","volume":"32","author":"P Schandelmaier","year":"2001","unstructured":"Schandelmaier\u00a0P, Partenheimer\u00a0A, Koenemann\u00a0B, Gr\u00fcn\u00a0OA, Krettek\u00a0C (2001) Distal femoral fractures and LISS stabilization. Injury 32(3):SC55\u2013SC63. https:\/\/doi.org\/10.1016\/S0020-1383(01)00184-X","journal-title":"Injury"},{"issue":"11","key":"1629_CR33","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1097\/BOT.0000000000002899","volume":"38","author":"MK Shaath","year":"2024","unstructured":"Shaath\u00a0MK, Kerr\u00a0MS, Haidukewych\u00a0GJ (2024) Clinical and Radiographic Results of a\u00a0Retrograde Nail-Washer Combination Versus Lateral Locked Plating for Distal Femur Fractures. J\u00a0Orthop Trauma 38(11):584\u2013591. https:\/\/doi.org\/10.1097\/BOT.0000000000002899","journal-title":"J Orthop Trauma"}],"container-title":["Die Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-025-01629-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00113-025-01629-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00113-025-01629-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T18:04:06Z","timestamp":1764180246000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00113-025-01629-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,9]]},"references-count":33,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["1629"],"URL":"https:\/\/doi.org\/10.1007\/s00113-025-01629-z","relation":{},"ISSN":["2731-7021","2731-703X"],"issn-type":[{"value":"2731-7021","type":"print"},{"value":"2731-703X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,9]]},"assertion":[{"value":"4 August 2025","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 September 2025","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"C.\u00a0Sommer, M.\u00a0Lodde, L.\u00a0Hofmann-Fliri und M.J.\u00a0Raschke geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Die Studie steht im Einklang mit nationalem Recht sowie der Deklaration von Helsinki von 1975 (in der aktuellen, \u00fcberarbeiteten Fassung). Die in diesem Beitrag erw\u00e4hnte Tierstudie wurde in einer von Association for Assessment and Accreditation of Laboratory Animal Care (AAALAC) International zugelassenen Einrichtung gem\u00e4\u00df den Schweizer Tierschutzbestimmungen durchgef\u00fchrt und von der zust\u00e4ndigen Ethikkommission genehmigt.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}