Table 1.

Results of the systematic review for double plating of femoral shaft fractures

Title	Authors	Journal	Year	Level of evidence	Number of cases	Treatment	Mean follow-up (months)	Fracture healing	Complications	Functional outcome at final follow-up
Double-plating fixation of comminuted femoral shaft fractures with concomitant thoracic trauma	Cheng et al.	Journal of International Medical Research	2018	IV	n = 15 Mean age: 38.7 years Range of age: 21–58 years	LCP anterior surface of femoral shaft LCP or distal femoral locking titanium plate lateral	14.2 (SD 12–24)	Union was achieved in 14 of 15 patients Mean time of healing: 9.2 months	n = 2 1 delayed union 1 superficial wound infection	Range of motion of knee flexion 116.4 (+-6,9) Mean Nonarthritic Hip Score and Lysholm Knee Score was 89 (+-7.8) points and 87 (+ -8.4 points)
Interlocking Intramedullary Nailing Versus Locked Dual-Plating Fixation for Femoral Shaft Fractures in Patients with Multiple Injuries: a retrospective comparative study	Cheng et al.	Journal of Investigative Surgery	2019	IV	n = 126 84 patients treated with intramedullary nailing Mean age: 36.2 Range of age: 19–67 42 patients treated with locked dual plating Mean age: 38.6 years Range of age: 21–69 years	Interlocking intramedullary nailing Locked dual plating (LCP)	Intramedullary nailing 16.4 Locked dual plating 18.9	Bony union was achieved in 98.4% after 32.5 weeks and 36.3 weeks in the intramedullary nailing and locked dual plating groups	n = 48 IMN group: 26 pulmonary complications 3 multiple organ failures 5 deaths caused by ARDS, pulmonary contusion, multiple organ failure, brain trauma LDP group: 10 pulmonary complications 2 multiple organ failures 2 deaths caused by multiple organ failure	Harris Hip Score (points) Interlocking intramedullary nailing: 86.1 ± 10.2 Locked dual plating: 88.3 ± 9.4 Lysholm Knee Score (points) Interlocking intramedullary nailing: 85.1 ± 16.2 Locked dual plating: 83.3 ± 14.4