Nail and Locking Plate for Periprosthetic Fractures.

The incidence of periprosthetic fractures have been increasing, and in patients with osteopenic bone, high body mass index, or a combination both, they are difficult to treat and pose a high risk for malunion. Previous studies have compared the use of locking plates and intramedullary nails, and have found that each has its own strengthens and drawbacks, but neither is superior in terms of treating periprosthetic fractures. Here, we present the technique and series of patients treated with a combination of a retrograde intramedullary nail and flare-to-flare lateral locking plate without the use of allograft or autograft supplementation.

Examination under anesthetic for occult pelvic ring instability.

Objective: To describe the technique and results of stress examination with fluoroscopy under anesthesia (EUA) to determine stability and the need for operative stabilization of traumatic pelvic ring injuries.

Design: Retrospective chart and radiographic review.

Setting: Level I trauma center.

Civilian gunshot wounds of the hip and pelvis.

Objective: To evaluate orthopaedic injuries associated with civilian hip and pelvic gunshot wounds and their required surgical interventions.

Design: Retrospective chart review.

Setting: Level I urban trauma center.