Insertion Plate
For the fixation of this fracture pattern the NCB Periprosthetic Distal Femur Plate has been chosen, because the NCB Technology allows for fracture reduction. After the incision is made the NCB Periprosthetic Distal Femur plate is inserted inserted between the vastus lateralis muscle and the periosteum. During insertion of the plate the assistant surgeon should perform a ligamentotaxis in order to achieve a correct axial alignment. The applied axial traction is maintained throughout the whole procedure. During insertion the proximal end of the plate was kept in continous contact with the bone to make sure that the plate is on the bone proximally as well. The length of the plate has been determined with the help of a ruler.