Hybrid Fixation of Failed Internally Fixed Distal Femoral Fracture with an Extramedullary Locking Plate and an Intramedullary Cortical Strut Allograft Construct- A Case Report

Abstract

Introduction: Osteoporotic bone fractures present a surgical challenge for fixation and are associated with significant morbidity. Case presentation:We present a case of failed internal fixation of fracture shaft femur in a 74-year-old patient with osteoporosis. Fracture fixation was done using an extra medullary locking plate with an intramedullary cortical strut graft as a hybrid fixation technique, a Locking Plate Allograft Construct.Discussion: Bone grafts are often used to support the native bone. By using a hybrid technique, the locking plate allograft construct achieves a higher stability of fracture fixation compared to plate alone, thus improving the outcome of surgery in osteoporotic bone fractures. Conclusion:Hybrid fixation using locking plate allograft constructs are relatively easy to perform and provide superior fixation to routine methods in osteoporotic bone fractures.