Comparison of Therapeutic Outcomes of Periprosthetic Femoral Fracture Between Treatments Employing Locking and Conventional Plates

Overview

Journal Eur J Orthop Surg Traumatol

Specialty Orthopedics

Date 2013 Feb 16

PMID 23412148

Citations 5

Authors

Tomonori Baba

Kazuo Kaneko

Katsuo Shitoto

Kentaro Futamura

Yuichiro Maruyama

Affiliations

Soon will be listed here.

Abstract

Introduction: Locking plate is considered biomechanically advantageous for porotic bone, compared with conventional plate. However, clinical evaluations of locking and conventional plates for periprosthetic femoral fracture are still controversial. Thus, we investigated the usefulness of a locking plate compared with the conventional plate for treatment for this fracture.

Materials And Methods: We reviewed 40 patients (40 fractures) who had undergone internal fixation for Vancouver type B1 or C periprosthetic fracture. Locking and conventional plates were applied for 21 and 19 patients, respectively.

Results: No significant difference was found between locking and conventional plate groups in Merle d' Aubigné hip score, walking ability, operation time, and blood loss. Regarding postoperative complications, delayed union was noted in one patient in the locking plate group and subsidence of the stem in one in the conventional plate group. On the final follow-up, bone union was achieved in all patients.

Conclusion: We cannot suggest the usefulness of locking plate for periprosthetic femoral fracture. However, functional training was performed in the same rehabilitation schedule in our comparative study. Considering the angle stability of the locking plate, weight may be loaded on the locking plate, earlier than that on the conventional plate, which may be an advantage of the locking plate.

Citing Articles

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Changes in tibial cortical dimensions and density associated with long-term locking plate fixation in goats.

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Ochi H, Baba T, Tanabe H, Ozaki Y, Watari T, Homma Y Trauma Case Rep. 2019; 22:100213.

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Baba T, Homma Y, Ochi H, Kobayashi H, Matsumoto M, Sakamoto Y Int Orthop. 2015; 39(9):1695-9.

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References

Masri B, Meek R, Duncan C . Periprosthetic fractures evaluation and treatment. Clin Orthop Relat Res. 2004; (420):80-95. DOI: 10.1097/00003086-200403000-00012. View

Wood G, Naudie D, McAuley J, McCalden R . Locking compression plates for the treatment of periprosthetic femoral fractures around well-fixed total hip and knee implants. J Arthroplasty. 2010; 26(6):886-92. DOI: 10.1016/j.arth.2010.07.002. View

Gautier E, Sommer C . Guidelines for the clinical application of the LCP. Injury. 2003; 34 Suppl 2:B63-76. DOI: 10.1016/j.injury.2003.09.026. View

Ricci W, Bolhofner B, Loftus T, Cox C, Mitchell S, Borrelli Jr J . Indirect reduction and plate fixation, without grafting, for periprosthetic femoral shaft fractures about a stable intramedullary implant. J Bone Joint Surg Am. 2005; 87(10):2240-5. DOI: 10.2106/JBJS.D.01911. View

Vallier H, Hennessey T, Sontich J, Patterson B . Failure of LCP condylar plate fixation in the distal part of the femur. A report of six cases. J Bone Joint Surg Am. 2006; 88(4):846-53. DOI: 10.2106/JBJS.E.00543. View

Learmonth I . The management of periprosthetic fractures around the femoral stem. J Bone Joint Surg Br. 2004; 86(1):13-9. View

DAUBIGNE R, Postel M . Functional results of hip arthroplasty with acrylic prosthesis. J Bone Joint Surg Am. 1954; 36-A(3):451-75. View

Greidanus N, Mitchell P, Masri B, Garbuz D, Duncan C . Principles of management and results of treating the fractured femur during and after total hip arthroplasty. Instr Course Lect. 2003; 52:309-22. View

Montijo H, Ebert F, Lennox D . Treatment of proximal femur fractures associated with total hip arthroplasty. J Arthroplasty. 1989; 4(2):115-23. DOI: 10.1016/s0883-5403(89)80063-4. View

10.

Kavanagh B . Femoral fractures associated with total hip arthroplasty. Orthop Clin North Am. 1992; 23(2):249-57. View

11.

Holley K, Zelken J, Padgett D, Chimento G, Yun A, Buly R . Periprosthetic fractures of the femur after hip arthroplasty: an analysis of 99 patients. HSS J. 2008; 3(2):190-7. PMC: 2504263. DOI: 10.1007/s11420-007-9045-4. View

12.

Tsiridis E, Haddad F, Gie G . Dall-Miles plates for periprosthetic femoral fractures. A critical review of 16 cases. Injury. 2003; 34(2):107-10. DOI: 10.1016/s0020-1383(02)00161-4. View

13.

Bryant G, Morshed S, Agel J, Henley M, Barei D, Taitsman L . Isolated locked compression plating for Vancouver Type B1 periprosthetic femoral fractures. Injury. 2009; 40(11):1180-6. DOI: 10.1016/j.injury.2009.02.017. View

14.

Duncan C, Masri B . Fractures of the femur after hip replacement. Instr Course Lect. 1995; 44:293-304. View

15.

Fulkerson E, Tejwani N, Stuchin S, Egol K . Management of periprosthetic femur fractures with a first generation locking plate. Injury. 2007; 38(8):965-72. DOI: 10.1016/j.injury.2007.02.026. View

16.

Chakravarthy J, Bansal R, Cooper J . Locking plate osteosynthesis for Vancouver Type B1 and Type C periprosthetic fractures of femur: a report on 12 patients. Injury. 2007; 38(6):725-33. DOI: 10.1016/j.injury.2007.02.038. View

17.

Buttaro M, Farfalli G, Paredes Nunez M, Comba F, Piccaluga F . Locking compression plate fixation of Vancouver type-B1 periprosthetic femoral fractures. J Bone Joint Surg Am. 2007; 89(9):1964-9. DOI: 10.2106/JBJS.F.01224. View

18.

Ahuja S, Chatterji S . The Mennen femoral plate for fixation of periprosthetic femoral fractures following hip arthroplasty. Injury. 2002; 33(1):47-50. DOI: 10.1016/s0020-1383(01)00112-7. View