Long-term fate of femoral allograft for periprosthetic fracture around a revision knee arthroplasty: A case report and review of the literature

Macpherson, Gavin; Gotterbarm, Tobias; Aldinger, Peter R.; Mau, Hans; Breusch, S. J.

doi:10.13172/2050-2303-2-3-485

Cited by 1 publication

(1 citation statement)

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“…Moreover, many authors and biomechanical studies on cadavers have shown that the medial splint is an indispensable counterfort to the medial plate in the osteosynthesis of periprosthetic hip and knee fractures. The purpose of our study is to demonstrate how the grafting of bone splint associated with the best metal plate improves fracture consolidation, functional recovery, and quality of life, compared to internal fixation with a simple plate [10–12]. …”

Section: Introductionmentioning

confidence: 99%

The Biological Metallic versus Metallic Solution in Treating Periprosthetic Femoral Fractures: Outcome Assessment

Carta

Fortina

Riva

et al. 2016

Advances in Medicine

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Introduction. The periprosthetic fracture of the femur is, in order of frequency, the fourth leading cause (5.9%) of surgical revision. Our study aims to demonstrate how the grafting of bone splint betters the outcomes. Materials. We treated 15 periprosthetic femoral fractures divided into two groups: PS composed of 8 patients treated with plates and splints and PSS involving 7 patients treated only with plates. The evaluation criteria for the two groups during the clinical and radiological follow-up were the quality of life measured by the Short Form (36) Health Survey (SF-36), Harris Hip Score (HHS), Modified Cincinnati Rating System Questionnaire (MCRSQ), bone healing measured by the Radiographic Union Score (RUS), postoperative complications, and mortality. The evaluation endpoint was set at 24 months for both groups (p < 0.05). Results. The surgery lasted an average of 124.5 minutes for the PS group and 112.6 minutes for the PSS. At 24 months all clinical and radiographic scores were p < 0.05 for the PS group. During follow-up 4 patients (2 in each group) died of causes not related to surgery. Conclusions. The use of the metal plate as opposed to cortical allogenic splint should be taken into consideration as a noteworthy point for periprosthetic femoral fractures.

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Section: Introductionmentioning

confidence: 99%