Biomechanics of Periprosthetic Fixation: Plates, Nails, Cables, and Allografts.
review · Level V
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- Record sourced from PubMed, PMID 31404036.
- Also identified by DOI 10.1097/BOT.0000000000001569.
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Abstract
Periprosthetic fractures (PPFs) present unique challenges to orthopaedic surgeons in terms of limited cortical fixation options, poor bone quality, cement mantles, and stress risers introduced from the prosthesis. Various fixation strategies have been used in PPFs including the use of intramedullary nails, locked plates, unicortical locking screws, cerclage wires and cables, double-plating techniques, and allograft struts. Here, we will review the biomechanics of various fixation strategies used in PPFs.
Medical subject headings
- Arthroplasty, Replacement, Hip
- Bone Transplantation
- Femoral Fractures
- Fracture Fixation, Internal
- Hip Joint
- Periprosthetic Fractures
- Range of Motion, Articular
Anatomy
- femur
- hip