Overlapping intramedullary nailing after failed minimally invasive locked plating for osteoporotic distal femur fractures - Report of 2 cases

被引:11
|
作者
Yoo, Je-Hyun [1 ]
Kim, Seok-Woo [1 ]
Kwak, Yoon-Hae [1 ]
Kim, Hyung-Jun [1 ]
机构
[1] Hallym Univ, Sch Med, Sacred Heart Hosp, Dept Orthopaed Surg, Anyang 431070, South Korea
关键词
Distal femur; Osteoporotic fracture; Failed MIPO; Overlapping IM nailing; FEMORAL FRACTURES; INTERNAL-FIXATION; EVOLUTION;
D O I
10.1016/j.injury.2015.01.011
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Minimally invasive plate osteosynthesis (MIPO) using a locking plate has been widely used for distal femur fractures in the elderly with osteoporosis and yielded favourable results. However, implant failure and subsequent periplate fracture have still occurred owing to the controversy of concepts regarding locked plating. The treatment after failed MIPO in elderly patients is very challenging and has been not yet addressed definitely in the literature, although several options can be considered. We report the successful outcomes of two cases treated with overlapping intramedullary (IM) nailing for implant failure and periplate fracture after MIPO for osteoporotic distal femur fracture, along with simple tips of distal interlocking of IM nail. (C) 2015 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1174 / 1177
页数:4
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