Double-plate compound osteosynthesis for pathological fractures of the proximal femur: high survivorship and low complication rate

Merckaert, Sophie; Fontanellaz-Castiglione, Christian D.; Fornari, Eric D.; Tannast, Moritz

doi:10.1007/s00402-019-03310-8

Cited by 4 publications

(7 citation statements)

References 29 publications

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Section: Resultsmentioning

confidence: 99%

“…Two studies analysed double-plate compound osteosynthesis for treatment of pathological fractures of the proximal femur (Table 7 ) [ 16 , 18 ]. Merckaert et al [ 18 ] reported that double-plate compound osteosynthesis is superior compared to other fixation techniques. Comparing the double-plate compound osteosynthesis and the single-plate compound osteosynthesis Kinkel et al [ 16 ] showed that the double-plate technique is more stable and associated with a higher survival probability after 5 years.…”

Section: Resultsmentioning

confidence: 99%

“…Treatment options for pathological proximal femur fractures include intramedullary nailing (IM) [ 14 ], endoprosthetic reconstruction [ 15 ] and plating with and without augmentation of bone cement [ 16 ]. The compound osteosynthesis has been developed for these pathological fractures [ 17 , 18 ]. The reconstruction of the proximal femur and fixation using a condylar plate together with an intramedullary placed narrow small fragment plate achieves a great amount of stability [ 17 , 19 ] and is more stable compared to intramedullary nailing [ 18 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

“…The compound osteosynthesis has been developed for these pathological fractures [ 17 , 18 ]. The reconstruction of the proximal femur and fixation using a condylar plate together with an intramedullary placed narrow small fragment plate achieves a great amount of stability [ 17 , 19 ] and is more stable compared to intramedullary nailing [ 18 , 20 , 21 ]. Furthermore, functional results of double plating are superior compared to primary endoprosthetic replacement [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

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Union rates and functional outcome of double plating of the femur: systematic review of the literature

Lodde

Raschke

Stolberg-Stolberg

et al. 2021

Arch Orthop Trauma Surg

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Background The optimal treatment strategy for the surgical management of femur fractures and non-unions remains unknown. The aim of this study is to assess union rates, complications and outcome after femoral double plating. Treatment of shaft, distal, periprosthetic fractures and pathological proximal femur fractures as well as femoral non-unions with double plating were evaluated. Methods A systematic review according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement was conducted. Published literature reporting on the treatment and clinical outcome of femoral fractures and non-unions with double plating was identified. In total, 24 studies with 436 cases of double plating, 64 cases of single plating, 84 cases of intramedullary nailing (IM), and 1 interfragmentary screw treatment met the inclusion criteria of this systematic review. The evaluated literature was published between 1991 and 2020. Results Double plating of femoral fractures achieved high healing rates and few complications were reported. It displayed significantly less intraoperative haemorrhage, shorter surgery time reduced risk of malunion in polytraumatised patients when compared to IM. Fracture healing rate of double-plating distal femoral fractures was 88.0%. However, there were no significant differences regarding fracture healing, complication or functional outcome when compared to single plating. Treatment of periprosthetic fractures with double plating displayed high healing rates (88.5%). Double plating of non-unions achieved excellent osseous union rates (98.5%). Conclusions The literature provides evidence for superior outcomes when using double plating in distal femoral fractures, periprosthetic fractures and femoral non-unions. Some evidence suggests that the use of double plating of femoral fractures in polytraumatised patients may be beneficial over other types of fracture fixation. Level of evidence IV.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Union rates and functional outcome of double plating of the femur: systematic review of the literature

Lodde

Raschke

Stolberg-Stolberg

et al. 2021

Arch Orthop Trauma Surg

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show abstract

“…To increase stability, the principal of augmentation is applied [43]. In this process, areas with low bone density are filled with special bone cements to prevent the implant from breaking out [44,45].…”

Section: Compound Osteosynthesismentioning

confidence: 99%

A Novel Screw Drive for Allogenic Headless Position Screws for Use in Osteosynthesis—A Finite-Element Analysis

Lifka

Baumgärtner

2021

Bioengineering

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Due to their osteoconductive properties, allogenic bone screws made of human cortical bone have advantages regarding rehabilitation compared to other materials such as stainless steel or titanium. Since conventional screw drives like hexagonal or hexalobular drives are difficult to manufacture in headless allogenic screws, an easy-to-manufacture screw drive is needed. In this paper, we present a simple drive for headless allogenic bone screws that allows the screw to be fully inserted. Since the screw drive is completely internal, no threads are removed. In order to prove the mechanical strength, we performed simulations of the new drive using the Finite-Element method (FEM), validated the simulations with a prototype screw, tested the novel screw drive experimentally and compared the simulations with conventional drives. The validation with the prototype showed that our simulations provided valid results. Furthermore, the simulations of the new screw drive showed good performance in terms of mechanical strength in allogenic screws compared to conventional screw drives. The presented screw drive is simple and easy to manufacture and is therefore suitable for headless allogenic bone screws where conventional drives are difficult to manufacture.

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Neoplastic pathologic hip fractures are associated with a higher risk of post-operative bleeding and thromboembolic events

Gonzalez,

Karczewski,

Bedi

et al. 2024

Surgical Oncology

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Double-plate compound osteosynthesis for pathological fractures of the proximal femur: high survivorship and low complication rate

Cited by 4 publications

References 29 publications

Union rates and functional outcome of double plating of the femur: systematic review of the literature

Union rates and functional outcome of double plating of the femur: systematic review of the literature

A Novel Screw Drive for Allogenic Headless Position Screws for Use in Osteosynthesis—A Finite-Element Analysis

Neoplastic pathologic hip fractures are associated with a higher risk of post-operative bleeding and thromboembolic events

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