Optimizing fixation in medial distal femur fractures: A biomechanical study

Central placement of cannulated screws to the medial femoral condyle enhanced axial stability in this synthetic model and represented a minimally invasive alternative to buttress plating in selected metrics. The highest stability was achieved with the combined use of cannulated screws and a locking plate. These results are restricted to axial loading and the tested endpoints; thus, further biomechanical, cadaveric, and clinical studies are warranted before generalizing to early weight-bearing. Given the anatomical challenges of the medial condyle, the development of anatomically contoured locking plates specifically designed for this region remains an important future direction.