A systematic review of the surgical outcomes of interprosthetic femur fractures

Rao, Brian; Stokey, Phillip J; Tanios, Mina; Liu, Jiayong; Ebraheim, Nabil A.

doi:10.1016/j.jor.2022.07.013

Cited by 3 publications

(2 citation statements)

References 50 publications

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“…The effect of metal-on-metal or metal-onpolyethylene wear debris on bacterial growth has not been reported [22]. Less common reasons for revision surgery include implant failure, osteolysis, fracture, and wear of the bearing surface [23,24]. Commonly affected prostheses are those made of titanium alloy, which can fracture causing surface cracks due to fretting corrosion [11,25].…”

Section: Introductionmentioning

confidence: 99%

How to Manage Metallosis: A Retrospective Cohort Analysis after Revision Hip Surgery

Bruschetta¹,

Palco

Fenga

et al. 2023

JCM

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Background: Adverse local tissue reactions to metal debris are due to a metal-on-metal bearing complication caused by micromotions at modular interfaces that induce corrosion of the protective oxide layer. This process could lead to wear, fretting, and abrasion with the release of metal ions locally and systemically, which may cause adverse local reactions in nearby tissues. The aim of this study is to describe a series of patients with painful local adverse tissue reactions secondary to corrosion at the modular neck–body interface, to document the clinical presentation, diagnostic workup, and surgical findings of our research, and to search for a possible correlation between metallosis and infection. Methods: A retrospective study of patients with adverse local tissue reactions due to metal surface corrosion was performed. Blood samples were collected to identify erythrocyte sedimentation rate, C reactive protein, and procalcitonin, and a magnetic resonance imaging protocol was performed. Results: Serum cobalt and chromium levels of the 43 patients tested were significantly higher on average. However, both erythrocyte sedimentation rate and C-reactive protein were significantly elevated. Magnetic resonance imaging showed adverse reactions to metal debris with large soft tissue masses and surrounding tissue damage. Conclusions: Corrosion in hip prosthesis can lead to the release of metal ions and debris locally and systemically, resulting in local soft tissue changes. A “tumor-like” debridement can reduce this complication.

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Section: Introductionmentioning

confidence: 99%

How to Manage Metallosis: A Retrospective Cohort Analysis after Revision Hip Surgery

Bruschetta¹,

Palco

Fenga

et al. 2023

JCM

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“…Currently, the most commonly used treatment modalities for patients with PSFN include drug therapy (such as skeleton growth factor and teriparatide) and surgical therapy (autogenous bone grafting and internal fixation surgery), with surgical therapy being regarded as the gold standard (7)(8)(9). Although the union rate is as high as 70.4-89.2% (reported in different countries during 2011-2021) after surgical intervention, a non-negligible proportion of patients with PSFN still face post-surgical complications due to its invasiveness (10)(11)(12). Therefore, less invasive methods are needed to improve the prognosis of patients with PSFN.…”

Section: Introductionmentioning

confidence: 99%

Extracorporeal shock wave treatment for post‑surgical fracture nonunion: Insight into its mechanism, efficacy, safety and prognostic factors (Review)

Wang

Shi

2023

Exp Ther Med

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Post-surgical fracture nonunion (PSFN) represents the failure to achieve cortical continuity at radiological examination after an orthopedic operation, which causes a considerable disease burden in patients with fractures. As one of the traditional treatment modalities, surgical therapy is associated with a high fracture union rate; however, post-surgical complications are not negligible. Therefore, less invasive therapies are needed to improve the prognosis of patients with PSFN. Extracorporeal shock wave treatment (ESWT) is a noninvasive method that presents a similar efficacy profile and favorable safety profile compared with surgical treatment. However, the application and detailed mechanism of ESWT in patients with PSFN remain unclear. The present review focuses on the mechanism, efficacy, safety and prognostic factors of ESWT in patients with PSFN, aiming to provide a theoretical basis for its application and improve the prognosis of these patients.

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High Rate of Unplanned Reoperation for Interprosthetic Femur Fractures After Total Hip and Knee Arthroplasty

Neitzke,

Coxe,

Chandi

et al. 2024

The Journal of Arthroplasty

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A systematic review of the surgical outcomes of interprosthetic femur fractures

Cited by 3 publications

References 50 publications

How to Manage Metallosis: A Retrospective Cohort Analysis after Revision Hip Surgery

How to Manage Metallosis: A Retrospective Cohort Analysis after Revision Hip Surgery

Extracorporeal shock wave treatment for post‑surgical fracture nonunion: Insight into its mechanism, efficacy, safety and prognostic factors (Review)

High Rate of Unplanned Reoperation for Interprosthetic Femur Fractures After Total Hip and Knee Arthroplasty

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