Formerly, the angled blade plate was the proven work horse of distal femoral fracture surgery. In some countries this device is still the only implant available.
Blade plate usage follows the principles of restoration of the mechanical axis of the femur and compression of the fracture site if possible.
The advantage of the angled blade plate is that it allows the plate to be used as the reduction device. When the surgeon places the blade plate in the distal femoral articular block in the correct position, the restoration of the correct biomechanical axis is ensured. It is also useful in revision surgery of distal femoral fracture fixations, including previous intramedullary nail fixation. Finally it is an implant of choice for corrective osteotomies of the distal femur.
The angled blade-plate devices are strong and can provide very stable fixation, even in poor quality bone. Their correct insertion requires a high degree of surgical discipline and skill. A detailed preoperative plan and a step-by-step tactic are mandatory. Careful adherence to the exact conduct of each step of the procedure is essential for a satisfactory outcome.