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Minimally invasive surgery with locking plate for periprosthetic femoral fractures: technical note
Matthieu Ehlinger1, Benjamin Scheibling2, Michel Rahme2
1Service de Chirurgie Orthopédique et de Traumatologie, CHU Hautepierre, Hôpitaux Universitaires de Strasbourg, 1 Avenue Molière, 67098, Strasbourg Cedex, France. Matthieu.ehlinger@chru-strasbourg.fr.
Purpose:
Periprosthetic fractures of the femur are increasing due to the increase of arthroplasties and the aging population. They concern a population that is often elderly and with important comorbidities that complicate managing this already complex pathology. Usual complications of classic osteosynthesis are numerous, including infections and nonunions and the need for delayed weight bearing after surgery.
Methods-Results:
The development of locking plates has allowed complication avoidance. When used in minimally invasive surgery, they combine the biological advantages of closed-wound surgery to the mechanical advantages of locking plates, which have better stability in fragile bones. We propose a technical update on handling such fractures by using locking plates under minimally invasive surgery.
Discussion-Conclusion:
In our experience, under certain guidelines, this allows for immediate post-operative full weight bearing, which is beneficial to these often elderly patients.
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