scholarly journals Fixation of a Periprosthetic Intertrochanteric Hip Fracture below a Birmingham Hip Resurfacing

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
J. Macdonald ◽  
A. Robinson ◽  
I. Brown
Keyword(s):  
Case Report ◽  
Hip Fracture ◽  
Conservative Management ◽  
Hip Resurfacing ◽  
Locking Compression Plate ◽  
Periprosthetic Fractures ◽  
Intertrochanteric Hip Fracture ◽  
Birmingham Hip Resurfacing ◽  
Compression Plate ◽  
Interesting Solution

This case report involves a 56-year-old female (Mrs X) with a traumatic intertrochanteric hip fracture with subtrochanteric extension below a previous Birmingham hip resurfacing. Periprosthetic fractures following hip resurfacing are usually subcapital and treated with a revision or conservative management. We present an unusual surgical problem with an interesting solution stabilising the fracture using a proximal femoral locking compression plate (LCP). Eight months following surgery the patient is able to walk pain free and there is good fixation and stability.

scholarly journals Routine Fracture Fixation for a Periprosthetic Hip Fracture Below Birmingham Hip Resurfacing

2020 ◽  
Vol 10 (3) ◽  
pp. e19.00540-e19.00540
Author(s):  
Jordy van Rijn ◽  
Maarten C. Koper ◽  
Pieter K. Bos
Keyword(s):  
Hip Fracture ◽  
Fracture Fixation ◽  
Hip Resurfacing ◽  
Birmingham Hip Resurfacing

scholarly journals High Failure Rates of Locking Compression Plate Osteosynthesis with Transverse Fracture around a Well-Fixed Stem Tip for Periprosthetic Femoral Fracture

2020 ◽  
Vol 9 (11) ◽  
pp. 3758
Author(s):  
Byung-Woo Min ◽  
Kyung-Jae Lee ◽  
Chul-Hyun Cho ◽  
In-Gyu Lee ◽  
Beom-Soo Kim
Keyword(s):  
Locking Compression Plate ◽  
Periprosthetic Fractures ◽  
Periprosthetic Femoral Fracture ◽  
Transverse Fracture ◽  
Failure Rates ◽  
Fracture Patterns ◽  
Compression Plate ◽  
Group A ◽  
Group B ◽  
Group D

This study investigated the incidence of failure after locking compression plate (LCP) osteosynthesis around a well-fixed stem of periprosthetic femoral fractures (PFFs). We retrospectively evaluated outcomes of 63 Vancouver type B1 and C PFFs treated with LCP between May 2001 and February 2018. The mean follow-up duration was 47 months. Only patients with fracture fixation with a locking plate without supplemental allograft struts were included. We identified six periprosthetic fractures of proximal Vancouver B1 fractures with spiral pattern (Group A). Vancouver B1 fractures around the stem tip were grouped into seven transverse fracture patterns (Group B) and 38 other fracture patterns such as comminuted, oblique, or spiral (Group C). Vancouver C fractures comprised 12 periprosthetic fractures with spiral, comminuted, or oblique patterns (Group D). Fracture healing without complications was achieved in all six cases in Group A, 4/7 (57%) in Group B, 35/38 (92%) in Group C, and 11/12 (92%) in Group D, respectively. The failure rates of transverse Vancouver type B1 PFFs around the stem tip were significantly different from those of Vancouver type B1/C PFFs with other patterns. For fracture with transverse pattern around the stem tip, additional fixation is necessary because LCP osteosynthesis has high failure rates.

scholarly journals Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Hiren M. Divecha ◽  
Hans A. J. Marynissen
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
Current Literature ◽  
Intramedullary Nail ◽  
Periprosthetic Fracture ◽  
Humeral Fracture ◽  
Locking Compression Plate ◽  
Periprosthetic Fractures ◽  
Intramedullary Device ◽  
Compression Plate

Distal humeral periprosthetic fractures below intramedullary nail devices are complex and challenging to treat, in particular due to the osteopenic/porotic nature of bone found in these patients. Fixation is often difficult to satisfactorily achieve around the intramedullary device, whilst minimising soft tissue disruption. Descriptions of such cases in the current literature are very rare. We present the case of a midshaft humeral fracture treated with a locking compression plate that developed a nonunion, in a 60-year old female. This went on to successful union after exchange for an intramedullary humeral nail. Unfortunately, the patient developed a distal 1/5th humeral periprosthetic fracture, which was then successfully addressed with a single-contoured, extra-articular, distal humeral locking compression plate (Synthes) with unicortical locking screws and cerclage cables proximally around the distal nail tip region. An excellent postoperative range of motion was achieved.

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