{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T20:54:42Z","timestamp":1790974482181,"version":"4.1.0"},"reference-count":28,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T00:00:00Z","timestamp":1759622400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T00:00:00Z","timestamp":1759622400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"DOI":"10.1007\/s00590-025-04542-8","type":"journal-article","created":{"date-parts":[[2025,10,5]],"date-time":"2025-10-05T15:12:23Z","timestamp":1759677143000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Nail plate construct in complex distal femur fractures allow safe, early unrestricted weight bearing with high rates of union and a low rate of failure: five-year experience at a UK major trauma centre"],"prefix":"10.1007","volume":"35","author":[{"given":"Tom","family":"Barrow","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Rayner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Crone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enis","family":"Guryel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Bellringer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alastair","family":"Robertson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,5]]},"reference":[{"issue":"7","key":"4542_CR1","doi-asserted-by":"publisher","first-page":"S450","DOI":"10.1016\/j.arth.2023.01.044","volume":"38","author":"KE Bundschuh","year":"2023","unstructured":"Bundschuh KE, Grommersch BM, Tipton SC, Chihab S, Wilson JM, Guild GN (2023) Distal femoral replacement versus operative fixation for periprosthetic distal femur fractures: a systematic review and meta-analysis. J Arthroplasty 38(7):S450\u2013S458","journal-title":"J Arthroplasty"},{"issue":"7","key":"4542_CR2","doi-asserted-by":"publisher","first-page":"951","DOI":"10.1302\/0301-620X.99B7.BJJ-2016-0585.R1","volume":"99","author":"WEC Poole","year":"2017","unstructured":"Poole WEC, Wilson DGG, Guthrie HC, Bellringer SF, Freeman R, Guryel E et al (2017) \u2018Modern\u2019 distal femoral locking plates allow safe, early weight-bearing with a high rate of union and low rate of failure: five-year experience from a United Kingdom major trauma centre. Bone Jt J 99(7):951\u2013957","journal-title":"Bone Jt J"},{"issue":"2","key":"4542_CR3","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1016\/j.injury.2022.11.035","volume":"54","author":"MG Kontakis","year":"2023","unstructured":"Kontakis MG, Giannoudis PV (2023) Nail plate combination in fractures of the distal femur in the elderly: a new paradigm for optimum fixation and early mobilization? Injury 54(2):288\u2013291","journal-title":"Injury"},{"key":"4542_CR4","unstructured":"BOA. BOAST - The Care of the Older or Frail Orthopaedic Trauma Patient [Internet]. [cited 2024 Nov 5]. Available from: https:\/\/www.boa.ac.uk\/resource\/boast-frailty.html"},{"key":"4542_CR5","unstructured":"BOA. BOAST - Mobilisation and weightbearing after orthopaedic surgery \/ musculoskeletal injury [Internet]. [cited 2025 Jan 8]. Available from: https:\/\/www.boa.ac.uk\/resource\/mobilisation-and-weightbearing-after-orthopaedic-surgery-musculoskeletal-injury-boast.html"},{"issue":"4","key":"4542_CR6","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1530\/EOR-21-0113","volume":"7","author":"K Stoffel","year":"2022","unstructured":"Stoffel K, Sommer C, Lee M, Zhu TY, Schwieger K, Finkemeier C (2022) Double fixation for complex distal femoral fractures. EFORT Open Rev 7(4):274\u2013286","journal-title":"EFORT Open Rev"},{"issue":"3","key":"4542_CR7","volume":"5","author":"FA Liporace","year":"2022","unstructured":"Liporace FA, Tang A, Jankowski JM, Yoon RS (2022) Distal femur: nail plate combination and the linked construct. OTA Int Open Access J Orthop Trauma 5(3):e172","journal-title":"OTA Int Open Access J Orthop Trauma"},{"issue":"SUPP_2","key":"4542_CR8","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1302\/1358-992X.2023.2.009","volume":"105-B","author":"AJ Talia","year":"2023","unstructured":"Talia AJ, Furness N, Liew SM (2023) Use of a modified Clavien-Dindo classification system for orthopaedic complications in a level 1 trauma centre. Orthop Proc. 105-B(SUPP_2):9","journal-title":"Orthop Proc."},{"key":"4542_CR9","unstructured":"AO\/OTA Fracture and Dislocation Classification Compendium\u20142018 [Internet]. [cited 2025 Jan 8]. Available from: https:\/\/www.aofoundation.org\/trauma\/clinical-library-and-tools\/journals-and-publications\/classification"},{"key":"4542_CR10","doi-asserted-by":"crossref","unstructured":"Unified Classification System for Periprosthetic Fractures (UCPF).2018 J Orthop Trauma. Jan;32(1):S141\u20134.","DOI":"10.1097\/BOT.0000000000001068"},{"issue":"2","key":"4542_CR11","doi-asserted-by":"publisher","first-page":"634","DOI":"10.1016\/j.injury.2021.11.011","volume":"53","author":"K Garala","year":"2022","unstructured":"Garala K, Ramoutar D, Li J, Syed F, Arastu M, Ward J et al (2022) Distal femoral fractures: a comparison between single lateral plate fixation and a combined femoral nail and plate fixation. Injury 53(2):634\u2013639","journal-title":"Injury"},{"issue":"53","key":"4542_CR12","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1016\/j.jor.2024.02.039","volume":"1","author":"N Bostrom","year":"2024","unstructured":"Bostrom N, Paull TZ, Nguyen MP (2024) Outcomes of operatively managed periprosthetic distal femur fractures compared to fractures in patients with native knees. J Orthop 1(53):114\u2013117","journal-title":"J Orthop"},{"key":"4542_CR13","doi-asserted-by":"publisher","unstructured":"Griffin XL, Parsons N, Zbaeda MM, McArthur J. 2015 Interventions for treating fractures of the distal femur in adults - Griffin, XL - | Cochrane Library. [cited 2024 Nov 6]; Available from: https:\/\/www.cochranelibrary.com\/cdsr\/doi\/https:\/\/doi.org\/10.1002\/14651858.CD010606.pub2\/full","DOI":"10.1002\/14651858.CD010606.pub2\/full"},{"issue":"3","key":"4542_CR14","doi-asserted-by":"publisher","first-page":"646","DOI":"10.1007\/s43465-020-00331-z","volume":"55","author":"JM Jankowski","year":"2021","unstructured":"Jankowski JM, Szukics PF, Shah JK, Keller DM, Pires RE, Liporace FA et al (2021) Comparing intramedullary nailing versus locked plating in the treatment of native distal femur fractures: is one superior to the other? Indian J Orthop 55(3):646\u2013654","journal-title":"Indian J Orthop"},{"issue":"5","key":"4542_CR15","doi-asserted-by":"publisher","first-page":"1485","DOI":"10.1007\/s00590-022-03337-5","volume":"33","author":"JL Wilson","year":"2023","unstructured":"Wilson JL, Squires M, McHugh M, Ahn J, Perdue A, Hake M (2023) The geriatric distal femur fracture: nail, plate or both? Eur J Orthop Surg Traumatol 33(5):1485\u20131493","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"8","key":"4542_CR16","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1097\/BOT.0000000000001749","volume":"34","author":"DJ Wright","year":"2020","unstructured":"Wright DJ, DeSanto DJ, McGarry MH, Lee TQ, Scolaro JA (2020) Supplemental fixation of supracondylar distal femur fractures: a biomechanical comparison of dual-plate and plate-nail constructs. J Orthop Trauma 34(8):434\u2013440","journal-title":"J Orthop Trauma"},{"issue":"3","key":"4542_CR17","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1302\/2633-1462.33.BJO-2021-0202.R1","volume":"3","author":"KR Sobol","year":"2022","unstructured":"Sobol KR, Fram BR, Strony JT, Brown SA (2022) Survivorship, complications, and outcomes following distal femoral arthroplasty for non-neoplastic indications. Bone Joint Open 3(3):173\u2013181","journal-title":"Bone Joint Open"},{"issue":"5","key":"4542_CR18","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1007\/s00590-021-03061-6","volume":"32","author":"ME Tibbo","year":"2022","unstructured":"Tibbo ME, Parry JA, Hevesi M, Abdel MP, Yuan BJ (2022) Distal femoral replacement versus ORIF for severely comminuted distal femur fractures. Eur J Orthop Surg Traumatol 32(5):959\u2013964","journal-title":"Eur J Orthop Surg Traumatol"},{"issue":"6","key":"4542_CR19","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1302\/2633-1462.56.BJO-2023-0145.R1","volume":"5","author":"P Kriechling","year":"2024","unstructured":"Kriechling P, Bowley ALW, Ross LA, Moran M, Scott CEH (2024) Double plating is a suitable option for periprosthetic distal femur fracture compared to single plate fixation and distal femoral arthroplasty. Bone Jt Open 5(6):489\u2013498","journal-title":"Bone Jt Open"},{"issue":"2","key":"4542_CR20","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001332","volume":"33","author":"FA Liporace","year":"2019","unstructured":"Liporace FA, Yoon RS (2019) Nail plate combination technique for native and periprosthetic distal femur fractures. J Orthop Trauma 33(2):e64","journal-title":"J Orthop Trauma"},{"issue":"1","key":"4542_CR21","doi-asserted-by":"publisher","first-page":"21","DOI":"10.5606\/ehc.2015.06","volume":"26","author":"O Ba\u015fc\u0131","year":"2015","unstructured":"Ba\u015fc\u0131 O, Karaka\u015fl\u0131 A, Kumtepe E, G\u00fcran O, Hav\u0131t\u00e7\u0131o\u011flu H (2015) Combination of anatomical locking plate and retrograde intramedullary nail in distal femoral fractures: comparison of mechanical stability. Eklem Hast Ve Cerrahisi Jt Dis Relat Surg 26(1):21\u201326","journal-title":"Eklem Hast Ve Cerrahisi Jt Dis Relat Surg"},{"issue":"12","key":"4542_CR22","doi-asserted-by":"publisher","first-page":"642","DOI":"10.1097\/BOT.0000000000001591","volume":"33","author":"PB Fontenot","year":"2019","unstructured":"Fontenot PB, Diaz M, Stoops K, Barrick B, Santoni B, Mir H (2019) Supplementation of lateral locked plating for distal femur fractures: a biomechanical study. J Orthop Trauma 33(12):642","journal-title":"J Orthop Trauma"},{"issue":"2","key":"4542_CR23","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1016\/j.injury.2007.07.015","volume":"39","author":"PJ H\u00f8l","year":"2008","unstructured":"H\u00f8l PJ, M\u00f8lster A, Gjerdet NR (2008) Should the galvanic combination of titanium and stainless steel surgical implants be avoided? Injury 39(2):161\u2013169","journal-title":"Injury"},{"issue":"4","key":"4542_CR24","doi-asserted-by":"publisher","DOI":"10.1097\/OI9.0000000000000350","volume":"7","author":"A Dimitroulias","year":"2024","unstructured":"Dimitroulias A, Force A, Tarpada S, Bogdan Y, Sen MK (2024) Linking a nail and a plate for distal femur fractures: a technical trick. OTA Int 7(4):e350","journal-title":"OTA Int"},{"issue":"8","key":"4542_CR25","doi-asserted-by":"publisher","first-page":"584","DOI":"10.1302\/2633-1462.48.BJO-2023-0077.R1","volume":"4","author":"H Sainio","year":"2023","unstructured":"Sainio H, R\u00e4m\u00f6 L, Reito A, Silvasti-Lundell M, Lindahl J (2023) Prediction of fracture nonunion leading to secondary surgery in patients with distal femur fractures. Bone Jt Open 4(8):584","journal-title":"Bone Jt Open"},{"issue":"9","key":"4542_CR26","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1097\/BOT.0000000000001510","volume":"33","author":"TC McDonald","year":"2019","unstructured":"McDonald TC, Lambert JJ, Hulick RM, Graves ML, Russell GV, Spitler CA et al (2019) Treatment of distal femur fractures with the DePuy-Synthes variable angle locking compression plate. J Orthop Trauma 33(9):432\u2013437","journal-title":"J Orthop Trauma"},{"issue":"12","key":"4542_CR27","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1097\/BOT.0000000000002708","volume":"37","author":"A Roszman","year":"2023","unstructured":"Roszman A, Cone R, Chodaba Y, Cichos K, McGwin G, Spitler C (2023) Nail plate constructs are associated with decreased rates of reoperation in complex distal femur fractures. J Orthop Trauma 37(12):621","journal-title":"J Orthop Trauma"},{"issue":"11","key":"4542_CR28","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1097\/BOT.0000000000002661","volume":"37","author":"BY Shi","year":"2023","unstructured":"Shi BY, Brodke DJ, O\u2019Hara N, Devana S, Hernandez A, Burke C et al (2023) Nail plate combination fixation versus lateral locked plating for distal femur fractures: a multicenter experience. J Orthop Trauma 37(11):562","journal-title":"J Orthop Trauma"}],"container-title":["European Journal of Orthopaedic Surgery & Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-025-04542-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00590-025-04542-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-025-04542-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T13:43:42Z","timestamp":1767015822000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00590-025-04542-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,5]]},"references-count":28,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["4542"],"URL":"https:\/\/doi.org\/10.1007\/s00590-025-04542-8","relation":{},"ISSN":["1432-1068"],"issn-type":[{"value":"1432-1068","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,5]]},"assertion":[{"value":"16 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 September 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was a clinical audit of current practice; therefore, no research ethics committee approval was required. The study was registered with the local audit department.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}],"article-number":"417"}}