Fig. 3From: Minimally invasive plate osteosynthesis with dual plating for periprosthetic distal femoral fractures following total knee arthroplastyMedial plating using the PHILOS plate. The purpose of medial plating is to offer better reduction of fracture and alignment. a The PHILOS plate is placed at the anteromedial aspect of the femur along the contour of the distal femur and fixated with a locking screw on bone fragments. Additional muscle dissection may be needed for proximal fixation because muscle incision is made along the obliquely running muscle fibers. b Gross photo image of medial plating is shown in a separate boxBack to article page