Treatment of distal femoral fractures in elderly diabetic patients using minimally invasive percutaneous plating osteosynthesis (MIPPO).

The aim of this study was to evaluate the results of minimally invasive percutaneous plate osteosynthesis (MIPPO) of distal femoral fractures in elderly diabetic patients with osteoporotic bone. Thirteen supracondylar or intercondylar femoral fractures were treated by MIPPO with a locked plate without bone grafting. All fractures healed, with only one delayed union in a patient who had deep infection. Results were evaluated using Schatzker and Lambert's criteria; all patients had excellent, moderate or good results except one with a poor result. Minimally invasive percutaneous locked plating provided favorable results in the treatment of distal femoral fractures in this geriatric population.