Overlapping intramedullary nailing after failed minimally invasive locked plating for osteoporotic distal femur fractures--Report of 2 cases.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 25624271.
- Also identified by DOI 10.1016/j.injury.2015.01.011.
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Abstract
Minimally invasive plate osteosynthesis (MIPO) using a locking plate has been widely used for distal femur fractures in the elderly with osteoporosis and yielded favourable results. However, implant failure and subsequent periplate fracture have still occurred owing to the controversy of concepts regarding locked plating. The treatment after failed MIPO in elderly patients is very challenging and has been not yet addressed definitely in the literature, although several options can be considered. We report the successful outcomes of two cases treated with overlapping intramedullary (IM) nailing for implant failure and periplate fracture after MIPO for osteoporotic distal femur fracture, along with simple tips of distal interlocking of IM nail.
Medical subject headings
- Bone Nails
- Bone Plates
- Femoral Fractures
- Fracture Fixation, Intramedullary
- Osteoporotic Fractures