{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T13:13:05Z","timestamp":1788873185957,"version":"build-2803163510"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":76,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006447","name":"University of Zurich","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006447","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Orthop Traumatol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      The PediLoc\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Locking Cannulated Blade Plate System was originally designed for proximal femoral osteotomies but has also been used for multidimensional correction of distal femoral deformities. The present study delineates the surgical technique and undertakes a retrospective analysis of the consolidation rates of distal femoral osteotomies performed using the aforementioned system, comparing them with those performed using the DePuy Synthes\n                      <jats:sup>\u00ae<\/jats:sup>\n                      90\u00b0 LCP Pediatric Condylar Plate. We hypothesized that the semi-rigid design of the blade plate results in faster osteotomy healing rates compared with other locking screw plate systems.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>\n                      This retrospective single-centre study included patients who underwent distal femoral osteotomy with the PediLoc\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Blade Plate (Blade Plate) and the DePuy Synthes\n                      <jats:sup>\u00ae<\/jats:sup>\n                      90\u00b0 LCP Pediatric Condylar Plate (90\u00b0 LCP-PCP) at the University Children\u2019s Hospital Zurich (2020\u20132024). Consolidation rates were assessed using \"Regenerating Bone Defects Using New Biomedical Engineering\" (REBORNE), \"Radiographic Union Score for Tibial Fractures\" (RUST) and modified RUST (mRUST) scores at 6\u00a0weeks and 3\u00a0months postoperatively and compared using using Wilcoxon signed-rank test. For the comparison between both intervention groups, the unpaired\n                      <jats:italic>t<\/jats:italic>\n                      -test was used for normally distributed data and the Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      test for non-normally distributed and ordinal data. For all tests, values of\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05 were considered statistically significant.\n                    <\/jats:p>\n                    <jats:p>Geometric planes of osteotomy were analysed, and a stepwise correction technique was described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 111 osteotomies with complete radiographic follow-up were analysed (77 Blade Plate [69.4%], 34 90\u00b0 LCP-PCP [30.6%]). At 6\u00a0weeks, early consolidation (RUST score\u2009\u2265\u200910) was observed in 39% of Blade Plate cases versus 6% in the 90\u00b0 LCP group. By 3\u00a0months, consolidation reached 91% in the Blade Plate group and 70% in the 90\u00b0 LCP-PCP group. One Blade Plate case was excluded due to an implant-associated intraoperative fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The PediLoc\n                      <jats:sup>\u00ae<\/jats:sup>\n                      Blade Plate facilitates stable, multidirectional correction of distal femoral deformities and achieves earlier radiographic consolidation of osteotomies compared with the 90\u00b0 LCP-PCP without increased complication rates. Since faster consolidation was observed only in the RUST scores, the clinical relevance of this finding remains to be determined through prospective randomized controlled trials.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level III, retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>\n                      Clinicaltrials.gov, 2025-0000, registration date 14 April 2025, retrospectively registered,\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/register.clinicaltrials.gov\/prs\/beta\/records\" ext-link-type=\"uri\">https:\/\/register.clinicaltrials.gov\/prs\/beta\/records<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s10195-026-00946-2","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T03:18:22Z","timestamp":1782271102000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["PediLoc\u00ae blade plate yields faster consolidation rates than LCP pediatric condylar plate in distal femoral osteotomies: a retrospective comparison and description of surgical technique"],"prefix":"10.1186","volume":"27","author":[{"given":"Samuel","family":"Tschudi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cyrill","family":"Delay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Britta","family":"Krautwurst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domenic","family":"Grisch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Dreher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"issue":"1","key":"946_CR1","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1186\/s13018-021-02579-z","volume":"16","author":"L Jud","year":"2021","unstructured":"Jud L, Vlachopoulos L, Grob K (2021) Correction of complex three-dimensional deformities at the proximal femur using indirect reduction with angle blade plate and patient-specific instruments: a technical note. 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The study was approved by the local ethics committees (Cantonal Ethics Committee of Zurich project no. 2025-00007) prior to the start of the analysis. Data analysis was conducted anonymously, strictly adhering to applicable data protection regulations. Patients were only included in this study if a general consent form was signed prior to the surgery.","order":1,"name":"Ethics","label":"Ethics approval and consent to participate","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","label":"Consent for publication","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","label":"Competing interests","group":{"name":"EthicsHeading","label":"Declarations"}}],"article-number":"46"}}