Outcome of revision surgery for bisphosphonate related subtrochanteric fracture non-union following failed intramedullary nailing

Nagy, Mathias Thomas; Pydisetty, Gaurav; Kwaees, Tariq A; Saldanha, K A N

doi:10.1016/j.injury.2020.09.051

Cited by 12 publications

(6 citation statements)

References 33 publications

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“…Nine studies reported outcomes of case series with double plating of femoral non-unions including the proximal femur, femoral shaft and distal femur [4,24,[39][40][41][42][43][44][45]. Pydisetty et al [42] analysed 10 patients with revision surgery for non-union of bisphosphonate-related subtrochanteric fractures. After removal of failed implants and resection of the non-union, bone grafting and double plating with a lateral dynamic compression screw (DCS) plate and anterior locking compression plate were performed achieving bone union in all the cases.…”

Section: Non-union Of the Femurmentioning

confidence: 99%

“…After removal of failed implants and resection of the non-union, bone grafting and double plating with a lateral dynamic compression screw (DCS) plate and anterior locking compression plate were performed achieving bone union in all the cases. However, one patient was lost to follow-up and complication rate was high in these complex fracture patterns [42]. Both, Lu et al [43] and Mardani-Kivi et al [44] reported that double plating and bone grafting achieved a healing rate of 100% for the treatment of atrophic distal femur non-union with bone defect and non-union of femoral supracondylar, subtrochanteric, and shaft fractures, respectively.…”

Section: Non-union Of the Femurmentioning

confidence: 99%

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Union rates and functional outcome of double plating of the femur: systematic review of the literature

Lodde

Raschke

Stolberg-Stolberg

et al. 2021

Arch Orthop Trauma Surg

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Background The optimal treatment strategy for the surgical management of femur fractures and non-unions remains unknown. The aim of this study is to assess union rates, complications and outcome after femoral double plating. Treatment of shaft, distal, periprosthetic fractures and pathological proximal femur fractures as well as femoral non-unions with double plating were evaluated. Methods A systematic review according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement was conducted. Published literature reporting on the treatment and clinical outcome of femoral fractures and non-unions with double plating was identified. In total, 24 studies with 436 cases of double plating, 64 cases of single plating, 84 cases of intramedullary nailing (IM), and 1 interfragmentary screw treatment met the inclusion criteria of this systematic review. The evaluated literature was published between 1991 and 2020. Results Double plating of femoral fractures achieved high healing rates and few complications were reported. It displayed significantly less intraoperative haemorrhage, shorter surgery time reduced risk of malunion in polytraumatised patients when compared to IM. Fracture healing rate of double-plating distal femoral fractures was 88.0%. However, there were no significant differences regarding fracture healing, complication or functional outcome when compared to single plating. Treatment of periprosthetic fractures with double plating displayed high healing rates (88.5%). Double plating of non-unions achieved excellent osseous union rates (98.5%). Conclusions The literature provides evidence for superior outcomes when using double plating in distal femoral fractures, periprosthetic fractures and femoral non-unions. Some evidence suggests that the use of double plating of femoral fractures in polytraumatised patients may be beneficial over other types of fracture fixation. Level of evidence IV.

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Section: Non-union Of the Femurmentioning

confidence: 99%

Section: Non-union Of the Femurmentioning

confidence: 99%

Union rates and functional outcome of double plating of the femur: systematic review of the literature

Lodde

Raschke

Stolberg-Stolberg

et al. 2021

Arch Orthop Trauma Surg

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“…To date, the efficacy of bone grafting for AFF remains unclear. In nine cases of AFF nonunion, bone healing was achieved with bone grafting and double plating, with an average time to union of 14 (range, 7–32) months [ 8 ]. Some studies have recommended the use of bone marrow grafting during the primary fixation of fresh AFF.…”

Section: Discussionmentioning

confidence: 99%

Successful treatment of atypical femoral fracture with autogenous bone grafting in a patient on denosumab for bone metastasis from breast cancer: A case report

Yasukawa,

Lee,

Hasegawa

et al. 2024

Trauma Case Reports

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“…Because the patient complained of no special symptoms and refused surgical treatment, the patient was currently receiving extracorporeal shock wave treatment. In group B, one elderly patient underwent internal fixation cut-out, which may be related to osteoporosis, and hip arthroplasty was performed after the internal fixation was removed [32][33][34][35][36][37][38]. One case of superficial wound infection occurred in both groups, which may be related to the extent of damage to the soft tissue of the wound.…”

Section: Analysis Of the Complicationsmentioning

confidence: 99%

The Clinical Efficacy of Minimally Invasive Clamp-Assisted Reduction and Open Reduction with Wire Cerclage for Unstable Subtrochanteric Fractures

Liu

et al. 2022

Journal of Healthcare Engineering

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The purpose of this study was to compare the clinical effectiveness of minimally invasive clamp-assisted reduction and open reduction with wire cerclage and intramedullary nails for unstable subtrochanteric fractures. Between January 2016 and October 2019, 68 patients who had unstable subtrochanteric fractures experienced intramedullary nail surgery in this retrospective study. There were 41 cases in the minimally invasive clamp or closed reduction group (group A) and 27 cases in the open reduction with wire cerclage group (group B). There were 3 cases of complications in group A and 2 cases of complications in group B. Remarkable distinction was observed between the two groups in the operation time ( p < 0.05 ), quality of reduction ( p < 0.05 ), and union time ( p < 0.05 ). For the successful surgical treatment of unstable femoral subtrochanteric fractures, an anatomical reduction is crucial. Reduction and wire cerclage are cut to give medial support for the anatomical reduction, which has a positive effect on fracture healing.

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Outcome of revision surgery for bisphosphonate related subtrochanteric fracture non-union following failed intramedullary nailing

Cited by 12 publications

References 33 publications

Union rates and functional outcome of double plating of the femur: systematic review of the literature

Union rates and functional outcome of double plating of the femur: systematic review of the literature

Successful treatment of atypical femoral fracture with autogenous bone grafting in a patient on denosumab for bone metastasis from breast cancer: A case report

The Clinical Efficacy of Minimally Invasive Clamp-Assisted Reduction and Open Reduction with Wire Cerclage for Unstable Subtrochanteric Fractures

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