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Problems in plating periprosthetic femur fractures
1Department of Orthopaedic Surgery, Hennepin County Medical Center, Minneapolis, Minnesota, USA.
Injury
|June 23, 2018
Summary
Treating fractures near joint replacements or between implants is complex, especially in frail patients with severe osteopenia. This review covers the latest treatment strategies for these challenging periprosthetic and interprosthetic fractures.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Biomedical Engineering
Background:
- Periprosthetic fractures occur near total joint arthroplasty implants.
- Interprosthetic fractures occur between implants.
- These fractures often affect frail patients with severe osteopenia.
Purpose of the Study:
- To review the current state of the art in treating periprosthetic and interprosthetic fractures.
- To provide a comprehensive overview of management strategies for these complex injuries.
Main Methods:
- Literature review of current treatment options.
- Analysis of challenges in managing fractures adjacent to implants.
- Discussion of surgical techniques and considerations.
Main Results:
- Fractures adjacent to internal fixation devices and between implants present unique challenges.
- Treatment necessitates careful consideration of patient frailty and bone quality.
- Current literature highlights various surgical approaches and their outcomes.
Conclusions:
- Management of periprosthetic and interprosthetic fractures requires specialized approaches.
- Addressing osteopenia and patient-specific factors is crucial for successful treatment.
- Continued research is needed to optimize outcomes for these difficult fractures.
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