Intraoperative Periprosthetic Femur Fracture: A Biomechanical Analysis of Cerclage Fixation

Frisch, Nicholas B.; Charters, Michael A.; Sikora‐Klak, Jakub; Banglmaier, Richard F.; Oravec, D; Silverton, Craig D.

doi:10.1016/j.arth.2015.02.026

Cited by 27 publications

(32 citation statements)

References 42 publications

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“…(Choi et al, 2010;Giesinger et al, 2014;Graham et al, 2015;Griffiths et al, 2015;Gwinner et al, 2015;Konstantinidis et al, 2010;Lochab et al, 2017;Sariyilmaz et al, 2014;Shah et al, 2011). B) No gap (Brand et al, 2014;Frisch et al, 2015;Griffiths et al, 2015;Hoffmann et al, 2014;Konstantinidis et al, 2017;Lehmann et al, 2010;Lenz et al, 2012aLenz et al, , 2012bLenz et al, , 2016aLever et al, 2010;Pletka et al, 2011). C) Fracture gap filled with cement (Giesinger et al, 2014).…”

Section: Overview Of Recent Developments 221 Fracture Configurationunclassified

“…varies between the studies (Table 1). In many studies, no fracture gap was left after the osteotomy, in order to simulate a stable fracture pattern (Brand et al, 2014;Frisch et al, 2015;Griffiths et al, 2015;Hoffmann et al, 2014;Konstantinidis et al, 2017;Lehmann et al, 2010;Lenz et al, 2012aLenz et al, , 2012bLenz et al, , 2016aLever et al, 2010;Pletka et al, 2011). Other studies implemented a fracture gap (where the femur was not fixed as if anatomically reduced, and a gap was left between the fracture), typically below the tip of the hip stem prosthesis; fracture gap implemented ranged from 5 mm to 20 mm (Choi et al, 2010;Giesinger et al, 2014;Graham et al, 2015;Griffiths et al, 2015;Gwinner et al, 2015;Konstantinidis et al, 2010;Lochab et al, 2017;Sariyilmaz et al, 2014;Shah et al, 2011).…”

Section: Overview Of Recent Developments 221 Fracture Configurationmentioning

confidence: 99%

“…This is perhaps due to the higher interaoperative risk of fracture for uncemented implants (Wyatt, 2014). To best of our knowledge eight studies so far have investigated biomechanics of PFF fixation in uncemented hip implants (Frisch et al, 2015;Gordon et al, 2016;Gwinner et al, 2015;Hoffmann et al, 2014;Lenz et al, 2012b;Sariyilmaz et al, 2014;Wähnert et al, 2014Wähnert et al, , 2017.…”

Section: Screws and Cement Mantlementioning

confidence: 99%

“…Cables (Frisch et al, 2015) Biomechanical response of cerclage systems in fixation of intraoperative PFF in cementless THA. Four constructs compared, 1) CoCr (Cobalt-Chrome) cable 2) Hose clamp 3) Monofilament wire 4) Synthetic cable.…”

Section: Tablementioning

confidence: 99%

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Periprosthetic fracture fixation of the femur following total hip arthroplasty: A review of biomechanical testing – Part II

Wang

Kenanidis

Miodownik

et al. 2019

Clinical Biomechanics

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Background: Periprosthetic femoral fracture is a severe complication of total hip arthroplasty. A previous review published in 2011 summarised the biomechanical studies regarding periprosthetic femoral fracture and its fixation techniques. Since then, there have been several commercially available fracture plates designed specifically for the treatment of these fractures. However, several clinical studies still report failure of fixation treatments used for these fractures. Methods: The current literature on biomechanical models of periprosthetic femoral fracture fixation since 2010 to present is reviewed. The methodologies involved in the experimental and computational studies of periprosthetic femoral fracture fixation are described and compared with particular focus on the recent developments. Findings: Several issues raised in the previous review paper have been addressed by current studies; such as validating computational results with experimental data. Current experimental studies are more sophisticated in design. Computational studies have been useful in studying fixation methods or conditions (such as bone healing) that are difficult to study in vivo or in vitro. However, a few issues still remain and are highlighted. Interpretation: The increased use of computational studies in investigating periprosthetic femoral fracture fixation techniques has proven valuable. Existing protocols for testing periprosthetic femoral fracture fixation need to be standardised in order to make more direct and conclusive comparisons between studies. A consensus on the 'optimum' treatment method for periprosthetic femoral fracture fixation needs to be achieved.

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Section: Overview Of Recent Developments 221 Fracture Configurationunclassified

Section: Overview Of Recent Developments 221 Fracture Configurationmentioning

confidence: 99%

Section: Screws and Cement Mantlementioning

confidence: 99%

Section: Tablementioning

confidence: 99%

See 2 more Smart Citations

Periprosthetic fracture fixation of the femur following total hip arthroplasty: A review of biomechanical testing – Part II

Wang

Kenanidis

Miodownik

et al. 2019

Clinical Biomechanics

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“…Bei den Cerclagen sind unterschiedliche Systeme zu verzeichnen: Einerseits gibt es die Kabel-Cerclagen und die Titanband-Cerclagen, dann gibt es die konventionellen Draht-Cerclagen, die einfach und doppelt verwendet werden können. Diese sind jeweils hinsichtlich der Festigkeit einer einfachen oder doppelten Kabel-Cerclage unterlegen, wie es entsprechende Untersuchungen zeigen [48,49]. Cerclagen können einerseits nach der Reposition zum Halten der Reposition vor dem Setzen der Platte zur Anwendung kommen.…”

Section: Vancouver-typ-a-fraktur Gunclassified

Proximale periprothetische Femurfrakturen: Klassifikation und Therapie

Trieb

Fialka

2016

Z Orthop Unfall

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Periprosthetic femoral fractures can be categorized into proximal fractures around a hip stem or distally around a knee arthroplasty. This paper focuses on the proximal periprosthetic fractures. It is important to classify the fracture at diagnosis and to perform accurate planning of the surgery. Basically it is necessary to decide if the implant is fixed or loose, in the latter case a revision surgery including the change of the endoprosthesis is neccessary. If the implant is fixed an open reduction and internal fixation can be done. All implants have to be available on site because in the course of the intervention the plan could change. Due to rising numbers of primary arthroplasties and more elderly patients an increase of periprosthetic fractures can be expected. The treatment of periprosthetic fractures is an economic and surgical challenge. It is important to provide competence for these cases concerning both operative techniques and interdisciplinary treatment.

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Biomechanics of Total Hip Arthroplasty

Tokgoz

2022

Total Hip Arthroplasty

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Intraoperative Periprosthetic Femur Fracture: A Biomechanical Analysis of Cerclage Fixation

Cited by 27 publications

References 42 publications

Periprosthetic fracture fixation of the femur following total hip arthroplasty: A review of biomechanical testing – Part II

Periprosthetic fracture fixation of the femur following total hip arthroplasty: A review of biomechanical testing – Part II

Proximale periprothetische Femurfrakturen: Klassifikation und Therapie

Biomechanics of Total Hip Arthroplasty

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