Implant-Related Fractures of the Femur Following Hip Fracture Surgery

Robinson, C. M.; Adams, C. I.; Craig, Matthew R.; Doward, W.; Clarke, M. C.C.; Auld, J.

doi:10.2106/00004623-200207000-00004

Cited by 132 publications

(35 citation statements)

References 20 publications

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“…Stress concentrations lead to thigh pain and erosion of the femoral cortex, and the subsequent tip-effect results in femoral fractures during minimal force at the tip of the nail. Other authors have described femoral cortical hypertrophy as a result of stress concentration leading to a risk for femoral fracture [17,18]. Simmermacher et al highlighted the risks associated with an imprecise aiming device, which can lead to weakening of the femur and increased stress at the head of the locking screw [19].…”

Section: Discussionmentioning

confidence: 99%

Distal locking in short hip nails: Cause or prevention of peri-implant fractures?

Skála-Rosenbaum

Džupa

Bartoška

et al. 2016

Injury

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Section: Discussionmentioning

confidence: 99%

Distal locking in short hip nails: Cause or prevention of peri-implant fractures?

Skála-Rosenbaum

Džupa

Bartoška

et al. 2016

Injury

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“…These stresses may lead to local cortical hypertrophy, mid-thigh pain and fractures around the distal locking screws. Distal cortical hypertrophy is a radiological sign of proximal stress shielding with load concentrations at the tip of the nail [8]. Hardy et al stated that using two static locking screws during intramedullary fixation of intertrochanteric fractures is correlated with a high rate of cortical hypertrophy, while the use of a dynamically locked nail significantly reduces the rate of this complication [2].…”

Section: Discussionmentioning

confidence: 99%

Distal unlocked proximal femoral intramedullary nailing for intertrochanteric femur fractures

Özkan¹,

Unay²,

Demircay³

et al. 2008

International Orthopaedics (SICOT)

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We investigated whether a proximal femoral nail (PFN) having two lag screws can be implanted without distal locking screws in AO/OTA 31-A1 and 31-A2 intertrochanteric femur fractures. Twenty-four patients with AO/OTA 31-A1 and 31-A2 fractures were treated with a PFN without distal interlocking by a single surgeon. The mean follow-up was 12 months (range: 7-23). Clinical and functional outcome was assessed according to the Harris hip score and Barthel's activity score. The fractures healed in all patients; the average consolidation time was 14 weeks (range: 9-28). Fourteen patients had excellent and good results, nine patients had fair results, and one patient had a poor result according to the Harris hip score; 17 patients had a high range of mobility according to the Barthel activity score. Our results suggested that the PFN can be successfully implanted without distal interlocking in 31-A1 and 31-A2 fractures.

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“…Static interlocking intramedullary nailing, has overcome many of above mentioned disadvantages however there is a concern that loads applied to the limb were transferred through the locking screws and the nail and not through the site of the fracture thus delaying fracture healing [10,11]. So, dynamization was needed for some cases to have adequate fracture healing treated with static interlocking intramedullary nailing.…”

Section: Discussionmentioning

confidence: 99%

“…However, with static interlocking fixation, construct is changed from load sharing to load bearing. Also there is a concern that loads applied to the limb were transferred through the locking screws and the nail; not through the site of the fracture thus decreasing the strength of the callus [10,11].…”

Section: Introductionmentioning

confidence: 99%

Intramedullary Nailing of Femoral Shaft Fractures with Compressive Nailing Using Only Distal Dynamic Hole and Proximal Static Hole

Çift¹,

Ecevız²,

Avcı³

et al. 2014

OJO

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Objectives: In this study we aimed to present our treatment results of intramedullary nailing of femoral shaft fractures with compressive nailing using proximal static hole and only distal dynamic hole with one screw. Methods: Forty-three patients who had a fracture of the femoral shaft were managed between 2005 and 2008 with intramedullary nailing and the use of only one screw for distal interlocking. Prospectively we evaluated the union time, possible reoperation, fixation and fracture alignment, range of knee motion and complications. Results: Union occurred within a mean duration of 18.7 weeks. No failures of the fixation and fracture alignment and no more than 1 cm shortness were detected. The knee range of motion was all more than 90 degree. Only one deep venous thrombosis was detected as complication. Conclusions: Compressive nailing using proximal hole and only distal dynamic hole with one screw is a convenient technique for femur fractures.

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Implant-Related Fractures of the Femur Following Hip Fracture Surgery

Cited by 132 publications

References 20 publications

Distal locking in short hip nails: Cause or prevention of peri-implant fractures?

Distal locking in short hip nails: Cause or prevention of peri-implant fractures?

Distal unlocked proximal femoral intramedullary nailing for intertrochanteric femur fractures

Intramedullary Nailing of Femoral Shaft Fractures with Compressive Nailing Using Only Distal Dynamic Hole and Proximal Static Hole

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