| Autor: |
Markus Simon Hanke, Nicholas Andreas Beckmann, Marius Johann Baptist Keel, Klaus Arno Siebenrock, Johannes Dominik Bastian |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Trauma Case Reports, Vol 32, Iss , Pp 100419- (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2352-6440 |
| DOI: |
10.1016/j.tcr.2021.100419 |
| Popis: |
Failure of cephalomedullary fixation in geriatric trochanteric fractures is a potential complication. Attempts have been made to optimize the implant fixation (e. g. cement augmentation) and several factors (e. g. malreduction, tip apex distance) have been identified as risk factors for failure. Nevertheless, if intramedullary fixation fails, it is often associated with bone defects in mostly preexisting poor bone-stock. Accordingly, conversion to total hip arthroplasty (THA) is recommended by some authors as the only valid treatment option. However, in specific situations (e. g. implant associated infection) conversion to THA might be less reasonable than an attempt to re-osteosynthesis. This article reports on the successful use of a reversed contralateral LISS-DF (LISS for the distal femur, DePuy Synthes, Zuchwil, Switzerland) application after failed cephalomedullary fixation and failed re-osteosynthesis using a blade plate in a trochanteric fracture in an elderly patient with additional implant associated infection. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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