Mennen plate fixation for fracture of the femoral shaft with ipsilateral total hip and knee arthroplasties

Surgical treatment of femoral shaft fractures after total or hemiarthroplasty of the hip

“…For this reason, the solution to the problem "femoral fracture in hip arthroplasty" is not completely resolved with regard to classification and treatment. Open reduction and internal fixation with cerclage, plates and screws, plates, cerclage and screws; retrograde femoral nailing (type C fractures); and one-stage or two-stage revision arthroplasty (with or without bone grafting) have been proposed [20][21][22][23][24][25][26][27][33][34][35].…”

“…Many types of treatments have been proposed, both non-surgical [18,19] and surgical [20][21][22][23][24][25][26][27]. However, the age of these patients, the longer time of bed rest, and the higher incidence of complications using non-surgical treatment [1,3,17,[28][29][30] have guided many clinicians, including ourselves, to use non-surgical treatment only in few selected cases.…”

Problems with the Mennen plate when used for femoral fractures associated with implants

“…In the first, failure of the plate occurred in 2 cases out of 6. Another report described the use of the Mennen plate for a fracture above a knee arthroplasty in the femur of a patient with rheumatoid arthritis, and union was achieved [3]. In another report where the plate had been used on 4 patients, failure of the plate had occurred in one.…”

“Sandwich technique” in the surgical treatment of primary complex fractures of the femur and humerus

“…In an effort to provide improved screw fixation, cortical strut allografts can be used as a way of anchoring the screw to the opposite cortex, thus "sandwiching" the host shaft. The allograft struts provide stability to the fracture site, and they can incorporate [4] and ultimately increase the femoral or humeral bone stock [1,7,9,13,14,21]. Similar techniques have been described for periprosthetic fractures, hip revisions, or complex non-unions [5,11,12,14,19,22].…”