{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T07:09:03Z","timestamp":1769152143057,"version":"3.49.0"},"reference-count":33,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T00:00:00Z","timestamp":1652745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T00:00:00Z","timestamp":1652745600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002352","name":"Ain Shams University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002352","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["International Orthopaedics (SICOT)"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract\n<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>To report functional and radiological outcomes of using primary fibular graft together with double plating in distal femoral fractures in the elderly.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A retrospective study on 30 elderly patients with comminuted distal femoral fractures managed by primary fibular grafting and double plating through an anterior midline approach has been conducted. Only isolated distal femoral fractures type 33-A3, 33-C2, and 33-C3 were included. The patient\u2019s mean age was 75.3\u00a0years. Evaluation included operative time, blood loss, time to union, knee range of motion, Sanders scoring, and presence of complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The average follow-up period was 26.6\u00a0months. Mean intraoperative blood loss was 401\u00a0ml, and mean operative time was 216\u00a0min. All patients had a knee range of motion (90\u2013120\u00b0) during follow-up. Time for union ranged from 16 to 23\u00a0weeks with a mean of 18.4\u00a0weeks, with no cases of non-union. A total of 22 patients (73.3%) showed excellent functional outcomes, and the remaining eight (26.7%) showed good functional outcomes according to the Sanders scoring system. Only two cases (6.6%) had superficial wound infections managed conservatively. No post-operative deformity, loss of reduction, or implant failure was observed until the end of follow-up period.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Primary fibular grafting combined with double plating of comminuted distal femur fractures in patients above 70\u00a0years is an effective technique with higher rates of union and lower re-operation rates compared to other fixation modalities.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00264-022-05441-x","type":"journal-article","created":{"date-parts":[[2022,5,17]],"date-time":"2022-05-17T14:02:47Z","timestamp":1652796167000},"page":"2145-2152","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Primary fibular grafting combined with double plating in distal femur fractures in elderly patients"],"prefix":"10.1007","volume":"46","author":[{"given":"Fady M.","family":"Ibrahim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed K. 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Informed consent was obtained from all patients included in this study for participating and publishing this study. All steps and details of the procedures were explained to the participants. The participant has consented to the submission of the case report to the journal. The authors affirm that human research participants provided informed consent for the publication of the images. The authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}}]}}