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Related Experiment Video

Updated: May 21, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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[Locking attachment plate - first experience].

C W Dumpies¹, T Conrad, I Marintschev

¹Klinik für Unfall- und Wiederherstellungschirurgie, BG-Kliniken Bergmannstrost, Halle (Saale). christian.dumpies@bergmannstrost.com

Zeitschrift Fur Orthopadie Und Unfallchirurgie

|June 23, 2012

Summary

This summary is machine-generated.

The locking attachment plate (LAP) shows promising initial results for treating periprosthetic fractures, potentially enabling early patient mobilization. Further studies are needed to confirm its efficacy in larger patient groups.

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Area of Science:

Orthopedic surgery
Trauma surgery
Implant technology

Background:

Periprosthetic fractures are a growing concern in elderly, multi-morbid patients.
The locking attachment plate (LAP) is a novel fixed-angle plate fixation system designed for periprosthetic fractures.
LAP aims to prevent screw pull-out, stabilize the prosthesis, and facilitate early mobilization.

Purpose of the Study:

To evaluate the initial clinical experience and efficacy of the LAP for treating periprosthetic fractures.
To determine if the LAP is a valuable addition to the surgical options for periprosthetic fractures.
To assess the functional outcomes and implant stability following LAP application.

Main Methods:

The LAP was surgically implanted using ORIF technique in 17 patients with femur, tibia, or humerus periprosthetic fractures.
Follow-up assessment was conducted for at least 13 months post-surgery.
Outcomes included range of motion, pre-traumatic mobility, radiological healing, and implant stability.

Main Results:

Two patients were lost to follow-up due to mortality. Two cases (11.8%) experienced infection.
Of 15 assessable patients, 11 regained their original range of motion, and 9 regained pre-traumatic mobility.
Radiological fracture healing was not observed in 33.3% of cases, but 14 out of 15 implants remained stable without loosening. No material failures occurred.

Conclusions:

The LAP demonstrates promising initial outcomes for periprosthetic fractures, supporting early postoperative mobilization.
The LAP may become a valuable tool in the surgical management of periprosthetic fractures.
Further research with larger patient cohorts is necessary to validate these findings and establish the LAP's role in clinical practice.