{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T17:31:48Z","timestamp":1757611908430,"version":"3.44.0"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8S","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Summary:<\/jats:title>\n          <jats:p>Percutaneous medial plating of distal femur fractures, particularly comminuted fractures, offers improved biomechanical stability without the soft tissue insult of an open approach. The addition of a medial plate neutralizes the cantilever bending force that arises from the offset between the single lateral locking plate and the femur's anatomical axis. This cantilever bending force has been theorized to be a contributor to the high nonunion rate of distal femur fractures. Although concerns about the proximity of the superficial femoral artery have previously limited widespread adoption of medial plating, there is a considerable medial distal femur safe zone where the superficial femoral artery is not at risk. In cases where supplemental medial fixation would be beneficial and soft tissue or host limitations prevent open instrumentation, percutaneous medial plating is a safe and effective alternative.<\/jats:p>","DOI":"10.1097\/bot.0000000000002989","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T13:00:42Z","timestamp":1752843642000},"page":"S13-S14","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous Plating of the Medial Distal Femur: Cadaveric Dissection"],"prefix":"10.1097","volume":"39","author":[{"given":"Bradley","family":"Carlson","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Loma Linda University, Loma Linda, CA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Trumbo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Loma Linda University, Loma Linda, CA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Derran","family":"Bedward","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Medicine, Loma Linda, CA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Elsissy","sequence":"additional","affiliation":[{"name":"Arrowhead Regional Medical Center, Colton, CA; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Schneiderman","sequence":"additional","affiliation":[{"name":"Reno Orthopedic Center, Reno, NV."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20250904","doi-asserted-by":"crossref","first-page":"S8","DOI":"10.1097\/BOT.0b013e3182070127","article-title":"Locking plates for distal femur fractures: is there a problem with fracture healing?","volume":"25","author":"Henderson","year":"2011","journal-title":"J Orthop Trauma"},{"key":"R2-20250904","doi-asserted-by":"crossref","first-page":"e320","DOI":"10.1097\/OI9.0000000000000320","article-title":"Distal femur fractures: basic science and international perspectives","volume":"7","author":"Nauth","year":"2024","journal-title":"OTA Int."},{"key":"R3-20250904","doi-asserted-by":"crossref","first-page":"2170","DOI":"10.1016\/j.injury.2015.08.032","article-title":"The safety and feasibility of minimally invasive plate osteosynthesis (MIPO) on the medial side of the femur: a cadaveric injection study","volume":"46","author":"Jiamton","year":"2015","journal-title":"Injury"},{"key":"R4-20250904","doi-asserted-by":"crossref","first-page":"1964","DOI":"10.1016\/j.injury.2014.09.023","article-title":"Radiological assessment of the safe zone for medial minimally invasive plate osteosynthesis in the distal femur with computed tomography angiography","volume":"45","author":"Kim","year":"2014","journal-title":"Injury"},{"key":"R5-20250904","doi-asserted-by":"crossref","first-page":"e659","DOI":"10.5435\/JAAOS-D-17-00700","article-title":"Course of the femoral artery in the mid-and distal thigh and implications for medial approaches to the distal femur: a CT angiography study","volume":"27","author":"Maslow","year":"2019","journal-title":"J Am Acad Orthop Surg."}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000002989","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T04:00:46Z","timestamp":1756958446000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000002989"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":5,"journal-issue":{"issue":"8S","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000002989","relation":{},"ISSN":["0890-5339","1531-2291"],"issn-type":[{"type":"print","value":"0890-5339"},{"type":"electronic","value":"1531-2291"}],"subject":[],"published":{"date-parts":[[2025,8]]},"assertion":[{"value":"2025-03-30","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}