To The Editor:I read with great concern the article entitled, "Failure of LCP
Condylar Plate Fixation in the Distal Part of the Femur"
(2006;88:846-853), by Vallier et al. The authors have attempted to provide a
detailed analysis of the reasons for implant failure, but I believe that this
article falls far short of the intended goal. By definition, these fractures
occurred in the setting of severe soft-tissue injuries, and whether or not one
uses "minimally invasive" operative technique probably will not
affect healing rates under the circumstances described. In addition, four of
the six failures were in patients with type-IIIA open fractures. I believe
that there are some details, not specifically addressed in this small series
of plate failures, that need both recognition and explanation.