Reversed anatomic distal femur locking plate for periprosthetic hip fracture fixation.
نویسندگان
چکیده
The incidence of femoral fracture on hip prosthesis is increasing. Plate fixation is the method of choice when the prosthesis is stable. In fracture with proximal extension, the quality of the bone fixation is critical and, despite the development of anatomic plates, may be endangered when there are too few proximal screws. To resolve this issue, we recommend using a reversed LCP™ anatomic distal femoral Less Invasive Stabilization System (LISS™) locking plate: e.g., a left distal femoral plate for femoral fracture on right-hip implant. This presents several advantages: minimally invasive surgery, the introduction of the plate being facilitated by the LISS™ ancillary; ease of locking, also thanks to the ancillary; and, above all, multiple proximal trochanteric fixation thanks to the form of this anatomic distal LISS™ plate, improving proximal bone fixation. The present technical note seeks to illustrate the interest of using a "reversed" plate, in terms of simplicity of fitting and quality of reduction and consolidation, while also specifying the associated limitations and tolerance.
منابع مشابه
Treatment of distal femur fractures with locking plates: Comparison of periprosthetic fractures above total knee arthroplasty and non-periprosthetic fractures.
The purpose of the present study was to compare the results and plate fit of periprosthetic and non-periprosthetic distal femur fractures fixed with locking plates. Twenty-one periprosthetic fractures above a TKA and 27 non-periprosthetic fractures were retrospectively reviewed. The primary healing rate, bone union time, clinical and radiographic results, complications, and additional surgeries...
متن کاملOptimisation of Locking Plate Fixation Methods for Periprosthetic Fractures
Periprosthetic fracture (PPF) of the Femur is a common complication of hip arthroplasty. With increasing rates of total hip replacements, the occurrence of periprosthetic fractures is expected to rise. These fractures are often challenging to treat effectively due the technical challenges presented with the combination of fractured bone and an unstable prosthesis. Failure of locking plate fixat...
متن کاملFinite element comparison of retrograde intramedullary nailing and locking plate fixation with/without an intramedullary allograft for distal femur fracture following total knee arthroplasty.
PURPOSE Periprosthetic distal femur fracture after total knee arthroplasty due to the stress-shielding phenomenon is a challenging problem. Retrograde intramedullary nail (RIMN) or locking plate (LP) fixation with/without a strut allograft has been clinically used via less invasive stabilization surgery (LISS) for the treatment of these periprosthetic fractures. However, their biomechanical dif...
متن کاملLong-term Bisphosphonate Therapy-induced Periprosthetic Femoral Stress Fracture in a Sliding Hip Screw Implant: A Unique Case Report
INTRODUCTION Long-term bisphosphonate therapy for osteoporosis is associated with an increased risk of low-to-no energy atypical subtrochanteric and femoral shaft fractures with characteristic radiologic findings. There are few reports of patients with long-term bisphosphonate-induced periprosthetic fractures, all of them had a hip arthroplasty prosthesis. In this report, we present a unique ca...
متن کاملPeriprosthetic femur fractures, defined as femur frac- tures occurring around a pre-existing prosthetic hip or knee, are increasing in incidence on par with the number of arthroplasties
INTRODUCTION Periprosthetic femur fractures, defined as femur fractures occurring around a pre-existing prosthetic hip or knee, are increasing in incidence on par with the number of arthroplasties performed in our increasingly aging population. Periprosthetic hip fractures most commonly occur around or just distal to a hip stem prosthesis (Vancouver Type B, 88%) [1], and periprosthetic distal f...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Orthopaedics & traumatology, surgery & research : OTSR
دوره 97 5 شماره
صفحات -
تاریخ انتشار 2011