Managing extremely distal periprosthetic femoral supracondylar fractures of total knee replacements - a new PHILOS-ophy
| Autor: | Neville W Thompson, Adam Tucker, Kevin J. Donnelly, Angel Ruiz |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Femoral
030222 orthopedics medicine.medical_specialty Distal business.industry Total knee replacement Open reduction and internal fixation Periprosthetic Case Report Locking plate Surgery 03 medical and health sciences Fixation (surgical) Fracture 0302 clinical medicine Bone quality medicine Orthopedics and Sports Medicine 030212 general & internal medicine Implant PHILOS Femoral component business |
| Zdroj: | World Journal of Orthopedics |
| ISSN: | 2218-5836 |
| DOI: | 10.5312/wjo.v8.i10.809 |
| Popis: | We report two cases where a proximal humeral locking plate was used for the fixation of an extremely distal, type III peri-prosthetic femoral fractures in relation to a total knee replacement (TKR). In each case there was concern regarding the fixation that could be achieved using the available anatomic distal femoral plates due to the size and bone quality of distal fragment. The design of the Proximal Humeral Internal Locking System (PHILOS) allows nine 3.5-mm locking screws to be placed over a small area in multiple directions. This allowed a greater number of fixation points to be achieved in the distal fragment. Clinical and radiological short-term follow-up (6-12 mo) has been satisfactory in both cases with no complications. We suggest the use of this implant for extremely distal femoral fractures arising in relation to the femoral component of a TKR. |
| Databáze: | OpenAIRE |
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