{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T17:32:22Z","timestamp":1757611942198,"version":"3.44.0"},"reference-count":4,"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>This review describes a modified technique for the surgical management of a displaced medial femoral condyle fracture in a 22-year-old man after a motorcycle accident. This case involved an open reduction and the use of a medial buttress plate to restore joint congruity and reduce the risk of varus failure. The modified transfascial approach through the VMO muscle belly was used to facilitate ample exposure while safely protecting the neurovascular structures behind the robust adductor fascia. This technique highlights the utility and benefits of the modified transfascial approach compared with the traditional medial subvastus approach when used in medial distal femur fracture fixation.<\/jats:p>","DOI":"10.1097\/bot.0000000000002990","type":"journal-article","created":{"date-parts":[[2025,7,18]],"date-time":"2025-07-18T13:00:38Z","timestamp":1752843638000},"page":"S11-S12","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Modified Subvastus Approach to the Medial Distal Femur: Cadaveric Dissection"],"prefix":"10.1097","volume":"39","author":[{"given":"Michael","family":"Trumbo","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Loma Linda University, Loma Linda, CA;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bradley","family":"Carlson","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":"Brian","family":"Schneiderman","sequence":"additional","affiliation":[{"name":"Reno Orthopedic Center, Reno, NV; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Elsissy","sequence":"additional","affiliation":[{"name":"Arrowhead Regional Medical Center, Colton, CA."}],"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":"1670","DOI":"10.1016\/j.injury.2021.04.056","article-title":"Supplemental medial small fragment fixation adds stability to distal femur fixation: a biomechanical study","volume":"52","author":"Henry Goodnough","year":"2021","journal-title":"Injury"},{"key":"R3-20250904","doi-asserted-by":"crossref","first-page":"341","DOI":"10.2106\/00004623-199173030-00004","article-title":"Double-plating of comminuted, unstable fractures of the distal part of the femur","volume":"73","author":"Sanders","year":"1991","journal-title":"J Bone Joint Surg Am."},{"key":"R4-20250904","first-page":"62","article-title":"Medial subvastus approach to the knee: surgical technique","volume":"10","author":"Endres","year":"2008","journal-title":"Harv Orthop J."}],"container-title":["Journal of Orthopaedic Trauma"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000002990","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,4]],"date-time":"2025-09-04T04:01:01Z","timestamp":1756958461000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/BOT.0000000000002990"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":4,"journal-issue":{"issue":"8S","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1097\/bot.0000000000002990","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"}}]}}