➢: The prevalence of interprosthetic femur fractures (IFFs) is rising with the aging population and increased prevalence of total joint arthroplasty.
➢: IFFs have high rates of complications and high associated morbidity and mortality.
➢: The main treatment methods available for IFFs include plate fixation, intramedullary nailing, combined plate fixation and intramedullary nailing, and revision arthroplasty including partial and total femur replacement.
➢: There have been several proposed classification systems and at least 1 proposed treatment algorithm for IFFs; however, there is no consensus.
➢: Whichever treatment option is chosen, goals of surgery should include preservation of blood supply, restoration of length, alignment, rotation, and sufficient stabilization to allow for early mobilization.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.2106/JBJS.RVW.22.00080 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Periprosthetic fractures and their associated complications present significant challenges for orthopaedic surgeons. It is important to provide an overview of the current management of periprosthetic fractures, including techniques for osteosynthesis and revision total hip and knee arthroplasty, as well as special considerations for periprosthetic acetabular fractures, periprosthetic tibial fractures, and interprosthetic femur fractures. In addition, the guiding principles for the management of potential subsequent complications including infection, nonunion, and instability are discussed.
View Article and Find Full Text PDFNCB-PP® locking plates outcomes in the treatment of periprosthetic femoral fractures. Analysis of a retrospective cohort of 89 patients.
Orthop Traumatol Surg Res
September 2024
Service de Chirurgie Orthopédique et Traumatologique, Centre Hospitalo-Universitaire Nord, Hôpital Nord, chemin des Bourrely, 13015 Marseille, France.
Introduction: The management of periprosthetic femoral fractures is particularly complex in an elderly, frail population, with an increasing incidence due to the increase in femoral prosthesis surgery. The use of locking plates is now widely recommended. The primary objective of this study was to present the results of NCB-PP® locking plates in the management of periprosthetic femoral fractures.
View Article and Find Full Text PDFPostoperative early weight-bearing using double plating for periprosthetic, interprosthetic, and interimplant distal femur fractures following total knee arthroplasty: A report of three cases.
Trauma Case Rep
August 2024
Trauma and Reconstruction Center, Teikyo University Hospital, 2-11-1, Kaga, Itabashi-ku, Tokyo 173-8606, Japan.
Background: Distal femur fractures (DFFs) following total knee arthroplasty (TKA) in older patients often require prolonged non-weight-bearing, thereby decreasing their activities of daily living (ADL) and increasing mortality. This report clarifies early weight-bearing safety and utility by using double-plate fixation on medial and lateral sides (LM180 double-plate fixation) for DFFs following TKA.
Case Presentation: Three cases of Su Type III periprosthetic, interprosthetic, and interimplant DFFs following TKA, where bone stock was limited, were treated with LM180 double-plate fixation using locking plates through medial and lateral incisions on the distal femur.
High Rate of Unplanned Reoperation for Interprosthetic Femur Fractures After Total Hip and Knee Arthroplasty.
J Arthroplasty
October 2024
Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York.
Background: Interprosthetic femur fractures (IPFFs) are a rare, but devastating complication following total joint arthroplasty. There is limited evidence to help guide their management. The purpose of this study was to describe the features, treatment, and outcomes of surgically managed IPFFs.
View Article and Find Full Text PDFSubtotal diaphyseal replacement of the femur with modular mega-endoprosthesis following interprosthetic fracture. A case report.
GMS Interdiscip Plast Reconstr Surg DGPW
February 2024
Department of Orthopedics, Traumatology and Plastic Surgery, University Hospital Leipzig, Germany.
Mega-endoprostheses enable wide management options in the treatment of primary and periprosthetic fracture of the lower extremities. In this study, we report on the use of custom-made subtotal diaphyseal endoprosthetic replacement in treatment of interprosthetic femoral fracture. This procedure is off-label, but in this particular case, it was the safest and most stress-stable treatment option.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!