Clinical outcome of interprosthetic femoral fractures treated with polyaxial locking plates

Hoffmann, Martin; Lotzien, Sebastian; Schildhauer, Thomas A.

doi:10.1016/j.injury.2015.12.026

Cited by 38 publications

(36 citation statements)

References 25 publications

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“…Hoffmann et al, 23 in their retrospective series, found that neither the Soenen classification system nor the Pires classification system correlated with the development of a nonunion after open reduction and internal fixation.…”

Section: Classificationmentioning

confidence: 93%

“…Fixed-angle locking compression plates, placed using a minimally invasive plate osteosynthesis technique, and the less invasive stabilization system (LISS; DePuy Synthes, Paoli, Pennsylvania) have been shown to have more favorable results compared with conventional open plating for the treatment of IP fractures of the femur; however, they are not without complications, including nonunion. 3,22,23,[31][32][33][34][35][36] In a retrospective review of 22 patients who received either locking compression plates or LISS plating for IP fractures of the femur, Sah et al 31 noted a 100% union rate with no infections, nonunions, or malunions. Furthermore, 1 patient required removal of symptomatic hardware.…”

Section: Plate Fixationmentioning

confidence: 99%

“…Additionally, patients are at risk for malunion, infection, hardware failure, need for further surgery, and other complications. [2][3][4][5][7][8][9]23,25,[32][33][34][35][36] conclusion Treatment of an IP fracture must be tailored to the patient. Although no validated classification system or treatment algorithm exists, orthopedic surgeons who have a thorough understanding of these A B Figure 4: A 70-year-old woman sustained a periprosthetic distal femur fracture with a distal onethird tibia fracture from a fall down stairs.…”

Section: Revision Arthroplastymentioning

confidence: 99%

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Interprosthetic Fractures of the Femur

Romeo¹,

Firoozabadi²

2018

Orthopedics

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As the rate of hip and knee arthroplasty procedures increases, so will the rate of interprosthetic fractures. Several factors, including bone quality, bone quantity, and stability of the prosthetic components, play a role in determining the appropriate operative treatment. Patients with stable components should undergo reduction and internal fixation, while patients with loose components should undergo either revision arthroplasty, with or without additional fixation, or conversion to total femur replacement. Despite implant and technique advances, complications remain frequent. [Orthopedics. 2018; 41(1):e1-e7.].

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Section: Classificationmentioning

confidence: 93%

Section: Plate Fixationmentioning

confidence: 99%

Section: Revision Arthroplastymentioning

confidence: 99%

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Interprosthetic Fractures of the Femur

Romeo¹,

Firoozabadi²

2018

Orthopedics

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“…A previous article about interprosthetic fractures was published in 2015 by Hoffmann et al [34], when 143 patients who presented periprosthetic fractures of the femur were screened for interprosthetic fractures as well. 32 out of 143 patients were diagnosed with an interprosthetic fracture and the purpose of the study was to evaluate the treatment, in terms of surgical procedure, clinical and radiological evolution, and complications.…”

Section: Total Knee Arthroplasty Associated With Total Hip Arthroplastymentioning

confidence: 99%

Periprosthetic fractures after total knee arthroplasty: review

Creţu

Șerban

Zaharia

et al. 2019

Romanian Journal of Orthopaedic Surgery and Traumatology

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This review of literature classifies and describes the most common periprosthetic fractures after total knee arthroplasty. Classification systems are usually considered useful when they describe the condition and offer guidelines for the management of a certain condition and are specific and comprehensive. The Lewis and Rorabeck classification can be used to describe these fractures. The review not only provides the results of the classic techniques, but also new and combined techniques tried by some of the authors. For this review, only original studies, published between 2013 and 2019, were selected. The articles included in the database were selected from PubMed, ScienceDirect and SpringerLink. The searched keywords used to identify the articles were TKA, periprosthetic fractures and total knee arthroplasty. The aim of this paper was to review the clinical studies related to periprosthetic fractures after total knee arthroplasty from the last six years, in order to understand current perspectives, epidemiology, treatment, and management.In conclusion, periprosthetic fractures after total knee arthroplasty represent an important problem in medicine, but due to the low number of cases. Despite the increase in incidence, guidelines are mostly based on retrospective studies, personal observations, and expert opinion. The consensus is that treatment should be assigned depending on the patient's profile and the fracture's characteristics. Further studies should be performed in order to guide future practitioners in the treatment of periprosthetic fractures.

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“…Furthermore, about 19,200 Americans are living with ipsilateral hip and knee arthroplasties. 9 Patients are remaining active as their quality of life improves and thus more demands are placed on their implants. As a result, the rates of periprosthetic fractures have also risen.…”

Section: Introductionmentioning

confidence: 99%

<p>Interprosthetic femoral fractures: management challenges</p>

Rozell

Delagrammaticas

Schwarzkopf

2019

ORR

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Interprosthetic femur fractures are a rare but serious complication following total hip and knee arthroplasty. Classification systems have focused not only on diagnosis but also on treatment algorithm. Critical to the evaluation of patients with these fractures are an assessment of fracture location, bone quality, and the presence of stemmed implants. The gold standard for fracture fixation is locked plating with bicortical and unicortical screws, supplemented with wires or cables as needed. For patients with compromised bone stock or insufficient bony area for fixation, allograft augmentation with struts or interprosthetic sleeves may be used. For fractures with severe bone loss, conversion to a megaprosthesis or total femur replacement may be warranted.

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Clinical outcome of interprosthetic femoral fractures treated with polyaxial locking plates

Cited by 38 publications

References 25 publications

Interprosthetic Fractures of the Femur

Interprosthetic Fractures of the Femur

Periprosthetic fractures after total knee arthroplasty: review

<p>Interprosthetic femoral fractures: management challenges</p>

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