Published in:
01-04-2020 | Femoral Fracture | Technical Note • HIP - TRAUMA
Inter-implant fractures: an unmet medical need—a preventive approach proposal
Authors:
David Campillo-Recio, Miquel Videla-Ces, Miquel Sales-Pérez, Guillem Molina-Olivella, Sebastian Videla
Published in:
European Journal of Orthopaedic Surgery & Traumatology
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Issue 3/2020
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Abstract
Inter-implant fractures are associated with reduced quality of life and increased 1-year mortality. For that reason, we propose, instead of treating, a novel, preventative surgical approach that involves splinting the inter-implant femoral shaft interval. In patients with a previous femoral implant in whom a second surgery for new material implantation was necessary (including knee or hip arthroplasty, plate or femoral nailing), an overlapping technique using the minimally invasive plate osteosynthesis technique was performed during the second surgery. Nine patients were included, all females with median (range) age of 78 (55–88) years. No surgery-related complications or mortality occurred. Two patients suffered fractures from a casual fall postoperatively with no implant failure or hospital admission required. In conclusion, instead of treating such fractures after they occur, we propose an effective, safe and reproducible preventative surgical approach, not previously reported, which involves internal femoral splinting, a plate and the minimally invasive plate osteosynthesis technique.