The advantage of both a condylar LCP, when inserted in an open manner, is that the surgeon can use the implant as a reduction aid. By fixing the Condylar LCP in the correct position to the distal femoral block, the surgeon ensures appropriate varus/valgus reduction when the plate is brought down to the bone.

The condylar LCP is more expensive than the other two alternatives.

Indications

• Closed and open fractures
• Closed reduction impossible
• Some periprosthetic fractures
• Image intensifier not available
• Early pregnancy (up to 12 weeks gestation; reduces intraoperative ionizing radiation)

Contraindications

• Polytrauma patient in highly unstable condition
• Patient not medically fit for surgery
• Local soft-tissue compromise

Advantages

• Definitive procedure
• Direct fracture reduction
• Fracture stabilization allows for early mobilization of patients postoperatively
• Can be used in cases of pulmonary compromise
• Less exposure to ionizing radiation

Disadvantages

• Risk of infection
• Risk of greater blood loss
• Exposure of fracture zone
• Larger operative soft-tissue trauma
• More visible scarring