Peri-implant fractures below a sliding hip screw treated with retrograde nailing: a case report and description of surgical technique

Authors

DOI:

https://doi.org/10.15417/385

Keywords:

fractura periprotesica femur, clavo endomedular

Abstract

An implicit risk of peri-implant femoral fracture exists in patients with a previous intertrochanteric fracture treated with a sliding hip screw due to an increased life expectancy and multiple comorbidities. Treatment options are conditioned to the preservation or not of the previous implant. Being infrequent injuries, there is no consensus about their ideal management. The aim of this study is to report a case and describe the surgical technique of retrograde nailing for the treatment of peri-implant fractures below a sliding hip screw.

Downloads

Download data is not yet available.

Author Biographies

  • Pablo Ariel Slullitel, Equipo de Trauma. Ortopedia y Traumatología. Hospital Italiano de Buenos Aires Potosí 4247, 1199 Buenos Aires, Argentina
    Residente de Hospital Italiano de Buenos Aires
  • Nicolás Piuzzi, Hospital Italiano de Buenos Aires
    Residente de HIBA
  • Jorge Barla, Equipo de Trauma. Ortopedia y Traumatología. Hospital Italiano de Buenos Aires Potosí 4247, 1199 Buenos Aires, Argentina

    Médico de planta. Equipo de Trauma.

    HIBA

  • Guido Carabelli, Equipo de Trauma. Ortopedia y Traumatología. Hospital Italiano de Buenos Aires Potosí 4247, 1199 Buenos Aires, Argentina

    Médico de planta. Equipo de Trauma.

    HIBA.

  • Danilo Taype, Equipo de Trauma. Ortopedia y Traumatología. Hospital Italiano de Buenos Aires Potosí 4247, 1199 Buenos Aires, Argentina

    Médico Asociado. Equipo de Trauma.

    HIBA

  • Carlos Sancineto, Equipo de Trauma. Ortopedia y Traumatología. Hospital Italiano de Buenos Aires Potosí 4247, 1199 Buenos Aires, Argentina

    Jefe de Servicio de Ortopedia y Traumatología de HIBA

    Jefe de Equipo de Trauma.

    HIBA.

References

Melton LJ. Hip fractures: a worldwide problem today and tomorrow. Bone. 1993;14 Suppl 1:S1-8.

Kannus P, Parkkari J, Sievänen H, Heinonen A, Vuori I, Järvinen M. Epidemiology of hip fractures. Bone. 1996;18(1 Suppl):57S-63S.

Giannoudis P V, Schneider E. Principles of fixation of osteoporotic fractures. J Bone Joint Surg Br. 2006;88(10):1272-8. doi:10.1302/0301-620X.88B10.17683.

Antes DL, Hallal PC. Quedas e fraturas entre residentes de instituições de longa permanência para idosos [Falls and fractures among older adults living in long-term care]. Rev Bras Epidemiol. 2013;16(1):68-76.

Lloyd BD, Williamson DA, Singh NA, et al. Recurrent and injurious falls in the year following hip fracture: a prospective study of incidence and risk factors from the Sarcopenia and Hip Fracture study. J Gerontol A Biol Sci Med Sci. 2009;64(5):599-609. doi:10.1093/gerona/glp003.

Formiga F, Navarro M, Duaso E, et al. Factors associated with hip fracture-related falls among patients with a history of recurrent falling. Bone. 2008;43(5):941-4. doi:10.1016/j.bone.2008.06.014.

Swinteck BJ, Phan DL, Jani J, Owen JR, Wayne JS, Mounasamy V. Biomechanical effects of hardware configuration after union of proximal femoral and shaft fractures. Bone Joint Res. 2012;1(6):104-10. doi:10.1302/2046-3758.16.2000067.

Erhart S, Kammerlander C, El-Attal R, Schmoelz W. Is augmentation a possible salvage procedure after lateral migration of the proximal femur nail antirotation? Arch Orthop Trauma Surg. 2012;132(11):1577-81. doi:10.1007/s00402-012-1579-3.

Erhart S, Schmoelz W, Blauth M, Lenich A. Biomechanical effect of bone cement augmentation on rotational stability and pull-out strength of the Proximal Femur Nail AntirotationTM. Injury. 2011;42(11):1322-7. doi:10.1016/j.injury.2011.04.010.

Vidyadhara S, Rao SK. Cephalomedullary nails in the management of ipsilateral neck and shaft fractures of the femur--one or two femoral neck screws? Injury. 2009;40(3):296-303. doi:10.1016/j.injury.2008.08.009.

Jain P, Maini L, Mishra P, Upadhyay A, Agarwal A. Cephalomedullary interlocked nail for ipsilateral hip and femoral shaft fractures. Injury. 2004;35(10):1031-8. doi:10.1016/j.injury.2003.09.039.

Anup K, Mehra MM. Retrograde femoral interlocking nail in complex fractures. J Orthop Surg (Hong Kong). 2002;10(1):17-21.

Oh C-W, Oh J-K, Park B-C, et al. Retrograde nailing with subsequent screw fixation for ipsilateral femoral shaft and neck fractures. Arch Orthop Trauma Surg. 2006;126(7):448-53. doi:10.1007/s00402-006-0161-2.

Zuurmond RG, Pilot P, Verburg a D. Retrograde bridging nailing of periprosthetic femoral fractures. Injury. 2007;38(8):958-64. doi:10.1016/j.injury.2006.12.011.

Parvizi J, Rapuri VR, Purtill JJ, Sharkey PF, Rothman RH, Hozack WJ. Treatment protocol for proximal femoral periprosthetic fractures. J Bone Joint Surg Am. 2004;86-A Suppl:8-16.

Harris T, Ruth JT, Szivek J, Haywood B. The effect of implant overlap on the mechanical properties of the femur. J Trauma. 2003;54(5):930-5. doi:10.1097/01.TA.0000060999.54287.39.

Downloads

Published

2016-02-19

Issue

Section

Case Presentations

How to Cite

Peri-implant fractures below a sliding hip screw treated with retrograde nailing: a case report and description of surgical technique. (2016). Revista de la Asociación Argentina de Ortopedia Y Traumatología, 81(1), 53-56. https://doi.org/10.15417/385

Most read articles by the same author(s)

1 2 > >>