Off-Label Use of Buttress Calcaneal Plate in Medial Distal Femoral Fracture to Augment Internal Fixation.
Túlio Vinícius de Oliveira CamposIgor Guedes Nogueira ReisSantiago Enrique Sarmiento MolinaGustavo Scarpelli Martins da CostaAndré Guerra DominguesPaulo de Tarso Cardoso GomesMarco Antonio Percope de AndradePublished in: JBJS essential surgical techniques (2024)
Preserve the blood supply by performing minimal soft-tissue dissection.Do not detach comminuted fragments from the soft tissues, which will help fracture reduction.Reduce the main fragments anatomically and fix as necessary.Contain the comminution using the spanning property and large covering area of the calcaneal plate.Perform bone grafting through the plate as necessary.