{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:57:43Z","timestamp":1785488263691,"version":"3.56.0"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Distal femoral fractures remain challenging injuries because stable fixation must be combined with accurate joint reconstruction, restoration of mechanical alignment, and timely knee mobilization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The objective of this study was to assess short-term functional and radiographic outcomes and treatment-related complications after distal femur locking compression plate fixation in closed adult distal femur fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This prospective observational study enrolled 32 adults with closed AO\/OTA 33A, 33B, or 33C distal femur fractures treated with a distal femur locking compression plate at a tertiary teaching hospital from February 2021 to August 2022. Clinical and radiological assessment was performed at 6 weeks, 3 months, and 6 months using the Neer\u2019s scoring system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean patient age was 39.53 \u00b1 10.46 years, and 20 patients (62.5%) were male. Road traffic accidents were responsible for 24 injuries (75.0%). AO\/OTA 33C3 was the most common subtype (34.4%). At final follow-up, 21 patients (65.6%) had excellent, 9 (28.1%) good, and 2 (6.2%) fair outcomes; no patient had a poor final score. The combined excellent\u2013good rate was 93.7%. The recorded complications were pain (16.7%), infection (13.3%), stiffness (13.3%), nerve injury (13.3%), myositis (3.3%), hardware prominence (3.3%), and nonunion (3.3%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Distal femur locking compression plate fixation achieved stable fixation with progressive functional and radiological recovery in closed adult distal femoral fractures. Outcomes depend on meticulous reduction, preservation of soft-tissue biology, appropriate construct planning, and supervised rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aam.aam_684_26","type":"journal-article","created":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:00:10Z","timestamp":1785484810000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Functional and Radiological Outcomes after Locking Compression Plate Fixation of Adult Distal Femur Fractures: A Prospective Observational Study"],"prefix":"10.4103","author":[{"given":"B. M.","family":"Sahukar","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Janapriya Hospital, Hassan, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udit","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. K.","family":"Vaibhav","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics, King George Medical University, Lucknow, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanna","family":"Venkatakrishnaiah","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Indira Medical College, Thiruvallur, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,7,30]]},"container-title":["Annals of African Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_684_26","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T08:00:13Z","timestamp":1785484813000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aam.aam_684_26"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,30]]},"references-count":0,"URL":"https:\/\/doi.org\/10.4103\/aam.aam_684_26","relation":{},"ISSN":["1596-3519","0975-5764"],"issn-type":[{"value":"1596-3519","type":"print"},{"value":"0975-5764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,30]]},"assertion":[{"value":"2026-05-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}