Surgical treatment of peri-prosthetic femur fractures with dedicated NCB plates: our experience
Keywords:
Peri-prostheric femur fracturesAbstract
Background and aim of the work: The incidence of periprostethic femur fractures has increased over the last years; the treatment includes an open reduction and internal fixation or revision implant. The treatment of these fractures can be complex, expensive and associated with risks of systemic and local complications. Methods: We evaluated clinical and radiological results in patients treated in our department for periprosthetic femoral fractures from 2011 to 2017. We included 52 cases of periprosthetic fractures regardless of their classification with a mean follow-up of 2 years. The analisys of the result was performed using Harris Hip Score and searching for radiographic signs of loosening, infections or mechanical failure of the implants. Results: There was no evidence of septic complications or mechanical failure in cases treated. The average HHS was equal to 92 points with a certificate pain relief and a sufficient independence in daily living activities. Conclusions: The treatment of periprosthetic fractures is complex: it depends on type of fracture, on stability of the stem and on the bone quality. A right classification of the fractures, a good experience of the surgeon in prosthetic and trauma surgery is the basis for the best treatment.
References
Duwelius PJ, Schmidt AH, Kyle RF, Talbott V, Ellis TJ, Butler JBV. A prospective, modernized treatment protocol for periprosthetic femur fractures. Orthop. Clin. N. Am. 2004. 35: 485-492.
Tsaridis E, Haddad FS, Gie GA. The management of periprosthetic femoral fractures around hip replacement. Injury 2003; 34:95-105.
Calvosa G, Bonicoli E, Tenucci M, Morescalchi G, Po F. Le fratture periprotesiche di femore dopo una protesi totale d’anca. GIOT 2004. 30: 100-4.
Pike J, Davidson D, Garbuz D, Duncan CP, O’Brien PJ, Masri BA. Principles of treatment for periprosthetic femoral shaft fractures around well-fixed total hip arthroplasty. J Am Acad Orthop Surg 2009. 17: 677-688.
Peyrani A, Mellano D, Negretto R. Le fratture periprotesiche in pazienti portatori di protesi totale di anca. GIOT 2013. 39: 62-66.
Biggi F, Di Fabio S, D’Antimo C, Trevisani S. Periprosthetic fractures of the femur: the stability of the implant dictates the type of treatment. J. Orthop. Traumatol. 2010: 11:1-5.
Lindhal H, Malchau H, Odèn A, Garellick G. Risk factors for failure after treatment of a periprosthetic fracture of the femur. J. Bone Joint Surg Br 2006. 88: 26-30.
Holley K, Zelken J, Padgett D, Yun A, Buly R. Periprosthetic fractures of the femur after hip arthroplasty: an analysis of 99 patients. HSS J. 2007. 3: 190-7.
Capone A, Ennas F, Podda D. Periprosthetic femoral fractures: risk factors and current options to treatment. Aging Clin. Exp. Res. 2011. 23Suppl. 2: 33-5.
Erhardt JB, Grob K, Roderer G, Hoffmann A, Forster TN, Kuster MS. Treatment of periprosthetic femur fractures with the non-contact bridging plate: a new angular stable implant”. Arch Orthop Trauma Surgery 2008. 128: 409-16
Park SK, Kim YG, Kim SY. Treatment of periprosthetic femoral fractures in hip arthoplasty. Clin Orthop Surg 2011. 3: 101-6.
Kampshoff J, Stoffel KK, Yates PJ, Erhardt JB, Kuster MS. The treatment of periprosthetic fractures with locking plates: effect of drill and screw type on cement mantles: a biomechanical analysis. Arch Orthop Trauma Surgery 2010. 130:627-32
Berlusconi M, Accetta R, Pascale V, Pagani A, Mineo G. Locking compression plates (LCP) for the treatment of periprosthetic fractures of the hip. J. Orthop. Trauma. 2004; 18suppl. 9: 20-21.
Marsland D, Mears SC. A Review of periprosthetic fractures associated with total hip arthoplasty. Geriatr. Orthop. Surg. Rehabil. 2012. 3: 107–120.
Briant-Evans TW, Veeramootoo D, Tsiridis E, Hubble JW. Cement in cement stem revision for Vancouver Type B periprosthetic femoral fractures after total hip arthrplasty. Acta Orthop. 2009. 80: 584-52.
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