Outcomes of Periprosthetic Distal Femur Fractures by Fixation Construct: A Retrospective Cohort Study.

J Am Acad Orthop Surg Glob Res Rev · 2026 · PMC12834454 · PMID 41632935

Europe PMC DOI

hedged sentences

0.0510

closest p · 1.0× alpha

0.1930

boldest claim

The sentences

a trend toward significanceP = 0.051so close (0.05 < p ≤ 0.1)

Furthermore, the use of external fixation demonstrated a trend toward significance, with use in 0% of IMN, 10.5% of sLLP, and 24.0% of dual constructs ( P = 0.051; Table 2 ).

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a nonsignificant trendP = 0.177not close (p > 0.1)

Single lateral locking plate fixation showed a nonsignificant trend toward higher FRI odds (OR 2.76, 95% CI, 0.63 to 12.05, P = 0.177), whereas IMN (OR 1.65, 95% CI, 0.33 to 8.22, P = 0.539) and dual implants (OR 0.23, 95% CI, 0.02 to 2.57, P = 0.234) showed no significant association (Table 6 ).

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did not reach statistical significanceP = 0.193not close (p > 0.1)

Dual implants demonstrated the longest mean surgical duration (178.6 minutes), followed by sLLP (148.5 minutes) and IMN (132.1 minutes), although this difference did not reach statistical significance ( P = 0.193; Table 2 ).

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