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the knee, namely those arising in the two most common anatomical sites: distal femur and proximal tibia. To develop a systematic review, two electronic databases were used: Medline/PubMed and Scopus databases, using a search from 2000 to September
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been adopted and used by surgeons mainly for the management of fractures involving the proximal and distal metaphyseal areas of the tibia that could not be satisfactorily reduced by traction. The success of the reported outcomes contributed to the
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plating of intra-articular fractures of the femur and tibia, there are some special situations in which plating is beneficial. Ng et al 27 described a floating knee injury with simultaneous epiphyseal injuries of the distal femur and proximal tibia
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line. The third letter designates whether the calculated angle is in proximal P or distal D joint. The fourth letter indicates if the angle has been measured for the tibia T or the femur F . Since the mechanical and anatomical
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endoprostheses around the distal femur and proximal tibia ( Table 3 ). The largest study identified was that of Pala et al, including 687 distal femoral modular tumour endoprostheses implanted between 1983 and 2010. 18 Of these, the majority were fixed hinge
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland
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complication is growth disturbances secondary to growth-plate injury ( 2 ). Most bone growth arises from the physis of the distal femur; thus, achieving a complete understanding of the anatomy, the mechanism of the injuries, and the most appropriate
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resistance to distraction on the lateral side, potentially adding a serious bias. Measured resection Distal cartilage and bone wear In the measured resection technique, the surface of proximal tibia and distal femur are important references. At
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proximal tibia and distal femur, such a plating technique could also be enough at the distal femur; however, this remains a postulation and requires further studies. Nail-and-plate construct Rationale and biomechanical studies An alternative
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Universidad del Desarrollo, Santiago, Chile
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last to merge with the metaphysis. Fig. 1 Anteroposterior and lateral X-ray views of the knee of a 12-day-old female showing the epiphyseal secondary ossification centre of the distal femur and proximal tibia. Fig. 2 Anteroposterior
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for MCL reconstruction. They performed two incisions over the anatomic insertions on the femur and on the tibia. The MCL graft was fixed with an interferential screw in the femur and distal tibia insertions, and the proximal tibial was fixed with an
