{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T08:58:57Z","timestamp":1781686737286,"version":"3.54.5"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:00:00Z","timestamp":1778889600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:00:00Z","timestamp":1778889600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"Special Project for Research on Traditional Chinese Medicine in Henan Province","award":["2025XY1016"],"award-info":[{"award-number":["2025XY1016"]}]},{"DOI":"10.13039\/501100017700","name":"Henan Provincial Science and Technology Research Project","doi-asserted-by":"publisher","award":["242102310025"],"award-info":[{"award-number":["242102310025"]}],"id":[{"id":"10.13039\/501100017700","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["International Orthopaedics (SICOT)"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1007\/s00264-026-06856-6","type":"journal-article","created":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T08:49:32Z","timestamp":1778921372000},"page":"1447-1456","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intentional valgus alignment correction using metaphyseal comminution as a \u201cnatural osteotomy\u201d during dual-plate fixation for AO\/OTA 33-C3 distal femoral fractures with medial knee osteoarthritis: a preliminary feasibility series"],"prefix":"10.1007","volume":"50","author":[{"given":"Shengrui","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jialan","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guorui","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaotao","family":"Shi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shangzeng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Honglue","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,16]]},"reference":[{"issue":"24","key":"6856_CR1","doi-asserted-by":"publisher","first-page":"e1289","DOI":"10.5435\/JAAOS-D-24-00007","volume":"32","author":"G Dekeyser","year":"2024","unstructured":"Dekeyser G, Thorne T, Martin BI, Haller JM (2024) Changing epidemiology of distal femur fractures: increase in geriatric fractures and rates of distal femur replacement. J Am Acad Orthop Surg 32(24):e1289\u2013e1298","journal-title":"J Am Acad Orthop Surg"},{"issue":"7","key":"6856_CR2","doi-asserted-by":"publisher","first-page":"1665","DOI":"10.1111\/os.14124","volume":"16","author":"J Vargas","year":"2024","unstructured":"Vargas J, Plantz MA, Gerlach EB, Compton T, Dooley J, Welsh C, Butler B (2024) Short-term morbidity and mortality after distal femur open reduction internal fixation in the geriatric population. Orthop Surg 16(7):1665\u20131672","journal-title":"Orthop Surg"},{"issue":"5","key":"6856_CR3","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjaf322","volume":"2025","author":"Y Liu","year":"2025","unstructured":"Liu Y, Xu G (2025) Single-stage internal fixation with knee arthroplasty: a novel approach for concurrent knee osteoarthritis and distal femoral fracture. J Surg Case Rep 2025(5):rjaf322","journal-title":"J Surg Case Rep"},{"issue":"2","key":"6856_CR4","doi-asserted-by":"publisher","first-page":"260","DOI":"10.13107\/jocr.2026.v16.i02.6824","volume":"16","author":"SS Jha","year":"2026","unstructured":"Jha SS, Kori VK, Gohiya A, Patel HG (2026) Outcome of medial open wedge high tibial osteotomy for knee osteoarthritis: a case series. J Orthop Case Rep 16(2):260\u2013267","journal-title":"J Orthop Case Rep"},{"issue":"3","key":"6856_CR5","doi-asserted-by":"publisher","first-page":"235","DOI":"10.2106\/JBJS.25.00498","volume":"108","author":"RK Wagner","year":"2026","unstructured":"Wagner RK, Janssen SJ, Cote M, Borgida JS, Tung WS, Kloen P, Weaver MJ, Harris MB, Aneja A, Ly TV (2026) Risk factors for nonunion following lateral locked plating of distal femoral fractures: a Bayesian analysis of 560 patients. J Bone Joint Surg Am 108(3):235\u2013243","journal-title":"J Bone Joint Surg Am"},{"issue":"1","key":"6856_CR6","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1097\/BOT.0000000000002680","volume":"38","author":"DJ Stockton","year":"2024","unstructured":"Stockton DJ, O\u2019Hara NN, Brodke DJ, Mckibben N, Healey K, Goch A, Demyanovich H, Devana S, Hernandez A, Burke CE et al (2024) Technical factors contributing to nonunion in supracondylar distal femur fractures treated with lateral locked plating: a risk-stratified analysis. J Orthop Trauma 38(1):49\u201355","journal-title":"J Orthop Trauma"},{"issue":"1","key":"6856_CR7","doi-asserted-by":"publisher","first-page":"202","DOI":"10.1016\/j.arth.2016.06.006","volume":"32","author":"GP Hart","year":"2017","unstructured":"Hart GP, Kneisl JS, Springer BD, Patt JC, Karunakar MA (2017) Open reduction vs distal femoral replacement arthroplasty for comminuted distal femur fractures in the patients 70 years and older. J Arthroplasty 32(1):202\u2013206","journal-title":"J Arthroplasty"},{"issue":"6","key":"6856_CR8","doi-asserted-by":"publisher","first-page":"997","DOI":"10.1007\/s00402-021-03866-4","volume":"141","author":"DA Quinzi","year":"2021","unstructured":"Quinzi DA, Ramirez G, Kaplan NB, Myers TG, Thirukumaran CP, Ricciardi BF (2021) Early complications and reoperation rates are similar amongst open reduction internal fixation, intramedullary nail, and distal femoral replacement for periprosthetic distal femur fractures: a systematic review and meta-analysis. Arch Orthop Trauma Surg 141(6):997\u20131006","journal-title":"Arch Orthop Trauma Surg"},{"issue":"12","key":"6856_CR9","volume":"17","author":"A Elnewishy","year":"2025","unstructured":"Elnewishy A, Elgamal M, Elkohail A, Noureldin M, Hamada A, Khan PZ, Teama H, Naoum S (2025) Distal femoral replacement versus open reduction and internal fixation in elderly distal femur fractures: a systematic review and meta-analysis. Cureus 17(12):e99012","journal-title":"Cureus"},{"issue":"12","key":"6856_CR10","doi-asserted-by":"publisher","first-page":"rjad716","DOI":"10.1093\/jscr\/rjad716","volume":"2023","author":"EL Robles","year":"2023","unstructured":"Robles EL, Linsley CM, Burge JR (2023) Single staged buttress plating with constrained knee arthroplasty for distal femur fractures in the elderly. J Surg Case Rep 2023(12):rjad716","journal-title":"J Surg Case Rep"},{"issue":"3","key":"6856_CR11","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1016\/j.jos.2016.12.020","volume":"22","author":"K Park","year":"2017","unstructured":"Park K, Kim J, Kim H, Kyung H, Oh J, Cho T, Seo I, Oh C (2017) Corrective osteotomy of the distal femur with fixator assistance: a novel technique of minimally invasive osteosynthesis. J Orthop Sci 22(3):474\u2013480","journal-title":"J Orthop Sci"},{"issue":"3","key":"6856_CR12","doi-asserted-by":"publisher","first-page":"863","DOI":"10.1007\/s00167-015-3602-z","volume":"25","author":"M Quirno","year":"2017","unstructured":"Quirno M, Campbell KA, Singh B, Hasan S, Jazrawi L, Kummer F, Strauss EJ (2017) Distal femoral varus osteotomy for unloading valgus knee malalignment: a biomechanical analysis. Knee Surg Sports Traumatol Arthrosc 25(3):863\u2013868","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"6856_CR13","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-025-06309-7","volume":"20","author":"A Oun","year":"2025","unstructured":"Oun A, Sabra HK, Abdelaziz O, Elhois IS, Saleh AO, Hemdan K, Sabry AO (2025) Dual vs. single plating in distal femoral fractures: a systematic review and meta-analysis. J Orthop Surg Res 20(1):923","journal-title":"J Orthop Surg Res"},{"key":"6856_CR14","volume":"10","author":"A Guria","year":"2025","unstructured":"Guria A, Vaibhav K, Topno N, Kullu S (2025) Dual plating versus single plating for fracture of distal femur: a meta-analysis of comparative studies. Ann Afr Med 10:4103","journal-title":"Ann Afr Med"},{"issue":"Suppl 1","key":"6856_CR15","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1097\/BOT.0000000000001063","volume":"32","author":"EG Meinberg","year":"2018","unstructured":"Meinberg EG, Agel J, Roberts CS, Karam MD, Kellam JF (2018) Fracture and dislocation classification compendium-2018. J Orthop Trauma 32(Suppl 1):S1\u2013S170","journal-title":"J Orthop Trauma"},{"issue":"12","key":"6856_CR16","doi-asserted-by":"publisher","first-page":"3577","DOI":"10.1007\/s11999-012-2455-8","volume":"470","author":"H Fan","year":"2012","unstructured":"Fan H, Guo Z, Wang Z, Li J, Li X (2012) Surgical technique: unicondylar osteoallograft prosthesis composite in tumor limb salvage surgery. Clin Orthop Relat Res 470(12):3577\u20133586","journal-title":"Clin Orthop Relat Res"},{"issue":"7","key":"6856_CR17","doi-asserted-by":"publisher","first-page":"1259","DOI":"10.2106\/00004623-200207000-00026","volume":"84","author":"JL Marsh","year":"2002","unstructured":"Marsh JL, Buckwalter J, Gelberman R, Dirschl D, Olson S, Brown T, Llinias A (2002) Articular fractures: does an anatomic reduction really change the result? J Bone Joint Surg Am 84(7):1259\u20131271","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"6856_CR18","doi-asserted-by":"publisher","first-page":"10","DOI":"10.2106\/JBJS.RVW.23.00223","volume":"12","author":"AWT Wang","year":"2024","unstructured":"Wang AWT, Stockton DJ, Flury A, Kim TG, Roffey DM, Lefaivre KA (2024) Radiographic union assessment in surgically treated distal femur fractures: a systematic review. JBJS Rev 12(3):10\u20132106","journal-title":"JBJS Rev"},{"key":"6856_CR19","doi-asserted-by":"publisher","first-page":"851","DOI":"10.2147\/JPR.S158847","volume":"11","author":"AH Alghadir","year":"2018","unstructured":"Alghadir AH, Anwer S, Iqbal A, Iqbal ZA (2018) Test-retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res 11:851\u2013856","journal-title":"J Pain Res"},{"key":"6856_CR20","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1097\/00003086-198911000-00004","volume":"248","author":"JN Insall","year":"1989","unstructured":"Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 248:13\u201314","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"6856_CR21","doi-asserted-by":"publisher","first-page":"1483","DOI":"10.1007\/s00167-022-07302-x","volume":"31","author":"J Brunner","year":"2023","unstructured":"Brunner J, J\u00f6rgens M, Weigert M, K\u00fcmpel H, Degen N, Fuermetz J (2023) Significant changes in lower limb alignment due to flexion and rotation-a systematic 3D simulation of radiographic measurements. Knee Surg Sports Traumatol Arthrosc 31(4):1483\u20131490","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"6","key":"6856_CR22","doi-asserted-by":"publisher","first-page":"1252","DOI":"10.1097\/CORR.0000000000001652","volume":"479","author":"AS Gavaskar","year":"2021","unstructured":"Gavaskar AS, Srinivasan P, Raj RV, Jayakumar B, Pattabiraman K (2021) What is the likelihood of union after coronal limb realignment using revision osteosynthesis and concurrent TKA in patients with advanced arthritis and loss of fixation after distal metaphyseal femur fractures? Clin Orthop Relat Res 479(6):1252\u20131261","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"6856_CR23","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1097\/MLR.0000000000001664","volume":"60","author":"JA Teresi","year":"2022","unstructured":"Teresi JA, Yu X, Stewart AL, Hays RD (2022) Guidelines for designing and evaluating feasibility pilot studies. Med Care 60(1):95\u2013103","journal-title":"Med Care"},{"issue":"11","key":"6856_CR24","doi-asserted-by":"publisher","first-page":"1940","DOI":"10.1136\/ard.2010.129742","volume":"69","author":"L Sharma","year":"2010","unstructured":"Sharma L, Song J, Dunlop D, Felson D, Lewis CE, Segal N, Torner J, Cooke TDV, Hietpas J, Lynch J et al (2010) Varus and valgus alignment and incident and progressive knee osteoarthritis. Ann Rheum Dis 69(11):1940\u20131945","journal-title":"Ann Rheum Dis"},{"key":"6856_CR25","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1016\/j.jor.2019.09.022","volume":"18","author":"MG Bologna","year":"2019","unstructured":"Bologna MG, Claudio MG, Shields KJ, Katz C, Salopek T, Westrick ER (2019) Dual plate fixation results in improved union rates in comminuted distal femur fractures compared to single plate fixation. J Orthop 18:76\u201379","journal-title":"J Orthop"},{"issue":"10","key":"6856_CR26","doi-asserted-by":"publisher","first-page":"6209","DOI":"10.1007\/s00402-023-04953-4","volume":"143","author":"C Liu","year":"2023","unstructured":"Liu C, Tsai P, Chen I, Yu Y, Chou Y, Hsu Y (2023) The double-plate fixation technique prevents varus collapse in AO type C3 supra-intercondylar fracture of the distal femur. Arch Orthop Trauma Surg 143(10):6209\u20136217","journal-title":"Arch Orthop Trauma Surg"},{"issue":"8","key":"6856_CR27","doi-asserted-by":"publisher","first-page":"3151","DOI":"10.1007\/s00167-022-07303-w","volume":"31","author":"M Rupp","year":"2023","unstructured":"Rupp M, Themessl A, Merkle M, Insam D, Hinz M, Breulmann FL, Achtnich A, Mehl J, Siebenlist S, Muench LN (2023) Favorable rates of return to activity and work following lateral closing wedge distal femoral osteotomy for femoral-based symptomatic varus malalignment: an analysis at a mean 6-year follow-up. Knee Surg Sports Traumatol Arthrosc 31(8):3151\u20133159","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"1","key":"6856_CR28","doi-asserted-by":"publisher","DOI":"10.1097\/OI9.0000000000000227","volume":"6","author":"DC O\u2019Neill","year":"2023","unstructured":"O\u2019Neill DC, Hakim AJ, Dekeyser GJ, Steffenson LN, Schlickewei CW, Marchand LS, Barg A, Haller JM (2023) Medial and lateral dual plating of native distal femur fractures: a systematic literature review. OTA Int 6(1):e227","journal-title":"OTA Int"},{"issue":"5","key":"6856_CR29","doi-asserted-by":"publisher","first-page":"1533","DOI":"10.1016\/j.arth.2025.09.007","volume":"41","author":"RE Bilodeau","year":"2026","unstructured":"Bilodeau RE, Neitzke CC, Coxe FR, Nguyen JT, Kamdar PM, Barth KA, Wellman DS, Ricci WM, Gausden EB (2026) Nail-plate combination fixation for periprosthetic distal femoral fractures allows early weight-bearing with low reoperation and revision rates. J Arthroplasty 41(5):1533\u20131542","journal-title":"J Arthroplasty"},{"key":"6856_CR30","doi-asserted-by":"publisher","DOI":"10.1016\/j.artd.2025.101939","volume":"37","author":"L Ho","year":"2026","unstructured":"Ho L, Makaram NS, James C, Neo C, Clement ND, Scott CEH (2026) Primary versus salvage distal femoral endoprosthetic replacement following native distal femur fracture: a systematic review and meta-analysis. Arthroplast Today 37:101939","journal-title":"Arthroplast Today"},{"issue":"12","key":"6856_CR31","doi-asserted-by":"publisher","first-page":"644","DOI":"10.1097\/BOT.0000000000003059","volume":"39","author":"DC Landy","year":"2025","unstructured":"Landy DC, Foster JA, Southall WGS, Gregg AT, Duncan ST, Archdeacon MT, Obremskey WT, Lawrenz JM, Lee C, Sridhar MS et al (2025) Outcomes after distal femur replacement for fracture: a multi-institutional retrospective review. J Orthop Trauma 39(12):644\u2013652","journal-title":"J Orthop Trauma"}],"container-title":["International Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-026-06856-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00264-026-06856-6","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-026-06856-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T08:30:10Z","timestamp":1781685010000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00264-026-06856-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,16]]},"references-count":31,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["6856"],"URL":"https:\/\/doi.org\/10.1007\/s00264-026-06856-6","relation":{},"ISSN":["0341-2695","1432-5195"],"issn-type":[{"value":"0341-2695","type":"print"},{"value":"1432-5195","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,16]]},"assertion":[{"value":"21 April 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This retrospective study was approved by the Institutional Review Board of Luoyang Orthopedic-Traumatological Hospital of\u00a0Henan Province (Approval No. 2025KYKT0031-02), and was conducted in accordance with the Declaration of Helsinki.The requirement for informed consent was waived due to the retrospective nature of the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}