Intramedullar reosteosynthesis of distal femoral periprosthetic fractures
Authors:
Ševcech Boris; Vajczíková Silvia; Šteňo Boris
Authors‘ workplace:
II. ortopedicko- traumatologická klinika LF UK a UNB, Nemocnica sv. Cyrila a Metoda, Bratislava
Published in:
Clinical Osteology 2021; 26(2): 94-97
Category:
Overview
Solution of distal femoral periprosthetic fractures is becoming more actual topic among orthopedic surgeons. Considering the degree of difficulty majority of publications are targeted to cases they succeed. Failed cases of treatment are usually mentioned only in case report form. Most widely used is osteosynthesis with modern plate implants. Increasing amount of patients that undergo surgery is associated with adequate complication increase. Failure of osteosynthesis is the standard indication for revision total knee arthroplasty, tumorous or custom made implants. Care should be taken for indications because of severity of the surgery, age, associated diseases. Reosteosynthesis is valuable option in case of polymorbid patients, in advanced age, but also in younger active patients.
In this publication we refer to our experience using retrograde nailing in reosteosynthesis after distal femoral periprosthetic fracture.
Keywords:
distal femur – periprosthetic fracture – reosteosynthesis – retrograde femoral nail – Total knee arthroplasty
Sources
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Clinical Osteology
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