34-200
Fracturas periprotésicas de fémur en pacientes portadores de prótesis total de cadera. Tratamiento mediante doble placa.
Periprosthetic femoral fractures in patients w i th a total hip replacement. Treatment with double platting.
F. BAIXAULI CASTELLÁ, F. BAIXAULI GARCíA, E. BAIXAULI PERELLO, R. GABARDA LLORENS. A. PEIRÓ GONZÁLEZ. SERVICIO DE TRAUMATOLOGÍA Y CIRUGÍA ORTOPÉDICA. HOSPITAL UNIVERSITARIO LA FE. VALENCIA.
Recepción:
15/09/2008
Aceptación:
15/09/2008
Publicación:
15/09/2008
Métricas
59
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Resumen (ES)
An osteosynthesis technique, combination of an ASIF
plate on the lateral surface of the femur and one Partridge plate
on the anterior, has been used with selective criteria in 6 patients
over 60 years old with type III Johanson's periprosthetic femoral
fracture and stable prosthesis. In four patients, primary union
was achieved at an average time of four months, in the other two
the plate were broken and a new surgery was needed. A relevant
fact was the finding in these patients of a great fibrous reaction
around the Partridge plate, attributable to the nylon with which
the implant was manufactured. Therefore, although the plates
association, constitute a contribution in the treatment of these
fractures, we do not recommend the used of this implant. In our
series five of the six fractures were corresponding to cemented
prostheses, and the time to fracture after implantation was very
short, between 1 and 3 months, inferior to the literature have described;
and in all cases the fracture was produced immediately
below of the cement plug. These observations make us to consider
the existence of a possible casual relationship.
plate on the lateral surface of the femur and one Partridge plate
on the anterior, has been used with selective criteria in 6 patients
over 60 years old with type III Johanson's periprosthetic femoral
fracture and stable prosthesis. In four patients, primary union
was achieved at an average time of four months, in the other two
the plate were broken and a new surgery was needed. A relevant
fact was the finding in these patients of a great fibrous reaction
around the Partridge plate, attributable to the nylon with which
the implant was manufactured. Therefore, although the plates
association, constitute a contribution in the treatment of these
fractures, we do not recommend the used of this implant. In our
series five of the six fractures were corresponding to cemented
prostheses, and the time to fracture after implantation was very
short, between 1 and 3 months, inferior to the literature have described;
and in all cases the fracture was produced immediately
below of the cement plug. These observations make us to consider
the existence of a possible casual relationship.
Palabras clave (ES):
Prótesis
Artroplastia
Total
Cadera
Placa
Doble
Osteosíntesis
Tratamiento
Quirúrgico
Operatorio
Fémur
Fractura
Periprotésica
Resumen (EN)
An osteosynthesis technique, combination of an ASIF
plate on the lateral surface of the femur and one Partridge plate
on the anterior, has been used with selective criteria in 6 patients
over 60 years old with type III Johanson's periprosthetic femoral
fracture and stable prosthesis. In four patients, primary union
was achieved at an average time of four months, in the other two
the plate were broken and a new surgery was needed. A relevant
fact was the finding in these patients of a great fibrous reaction
around the Partridge plate, attributable to the nylon with which
the implant was manufactured. Therefore, although the plates
association, constitute a contribution in the treatment of these
fractures, we do not recommend the used of this implant. In our
series five of the six fractures were corresponding to cemented
prostheses, and the time to fracture after implantation was very
short, between 1 and 3 months, inferior to the literature have described;
and in all cases the fracture was produced immediately
below of the cement plug. These observations make us to consider
the existence of a possible casual relationship.
plate on the lateral surface of the femur and one Partridge plate
on the anterior, has been used with selective criteria in 6 patients
over 60 years old with type III Johanson's periprosthetic femoral
fracture and stable prosthesis. In four patients, primary union
was achieved at an average time of four months, in the other two
the plate were broken and a new surgery was needed. A relevant
fact was the finding in these patients of a great fibrous reaction
around the Partridge plate, attributable to the nylon with which
the implant was manufactured. Therefore, although the plates
association, constitute a contribution in the treatment of these
fractures, we do not recommend the used of this implant. In our
series five of the six fractures were corresponding to cemented
prostheses, and the time to fracture after implantation was very
short, between 1 and 3 months, inferior to the literature have described;
and in all cases the fracture was produced immediately
below of the cement plug. These observations make us to consider
the existence of a possible casual relationship.
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