Plate fixation in periprosthetic femur fractures Vancouver type B1: preliminary report of macroscopic evaluation of the cement mantle and short literature review

Plate fixation in periprosthetic femur fractures Vancouver type B1: preliminary report of macroscopic evaluation of the cement mantle and short literature review

Authors

  • Luigi Bibiano Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy
  • Grigor Stamboltsyan Department of Orthopedics and Traumatology, Mater Dei Hospital, Msida, Malta
  • Georgios Touloupakis Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy
  • Stefano Ghirardelli Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy
  • Elena Biancardi Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy
  • Giuseppe Edoardo Giovanni Longo Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy
  • Guido Antonini Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy
  • Cornelio Crippa Department of Orthopedics and Traumatology, San Carlo Borromeo Hospital, Milan, Italy

Keywords:

cement mantle, periprosthetic Vancouver B1 femur fractures, hip stem stability

Abstract

he goal of our preliminary report is to investigate hip stem stability and intra-operative cement mantle integrity after screw insertion in plate fixation of periprosthetic Vancouver B1 femur fractures. From a cohort of 50 patients with a periprosthetic femur fracture treated in our department from February 2012 until February 2017, we included in our study patients with a periprostethic Vancouver B1 femoral fracture in cemented hip arthroplasty and hemiarthroplasty, operated with ORIF using a 4.5/5.0 LCP Proximal Femoral Hook Plate ® (Synthes, Switzerland) with at least one screw perforating the cement mantle. Anteroposterior and lateral femur views and pelvis X-rays were performed preoperatively. The stability of the hip implant and the cemented mantle integrity was evaluated intra-operatively in a macroscopic way and with a post-operative X-ray in anteroposterior and lateral views. Only 7 patients satisfied the inclusion criteria; no lesion/break of the cement mantle occurred intra-operatively at any step during drilling or screw insertion, also confirmed with C-arm assessment. No cases of stem mobilization were found and cement mantle integrity was maintained in every case. Insertion of screws around a cemented stem for plate fixation in periprosthetic femur fractures Vancouver type B1 could be considered a safe procedure. However, further and more extended studies are necessary for proving additional knowledge at the evaluation of the cement mantle in osteosynthesis procedures.

Downloads

Published

24-01-2019

Issue

Section

ORIGINAL ARTICLES

How to Cite

1.
Bibiano L, Stamboltsyan G, Touloupakis G, Ghirardelli S, Biancardi E, Longo GEG, et al. Plate fixation in periprosthetic femur fractures Vancouver type B1: preliminary report of macroscopic evaluation of the cement mantle and short literature review. Acta Biomed [Internet]. 2019 Jan. 24 [cited 2024 Jul. 17];90(1):31-6. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/6544