Overlapping intramedullary nailing after failed minimally invasive locked plating for osteoporotic distal femur fractures – Report of 2 cases

Yoo, Je-Hyun; Kim, Seok Woo; Kwak, Yoon Hae

doi:10.1016/j.injury.2015.01.011

Cited by 11 publications

(3 citation statements)

References 16 publications

(29 reference statements)

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“…The spectrum of treatment can vary for an identical orthopaedic problem, but must be personalized to the clinical situation with consideration of multiple health and socioeconomic status-related factors. In the present example, load-sharing fixation of a low-energy distal femoral fracture may be substituted in favor of hybrid load-sharing fixation 70,71 or tumor prostheses in severe cases 72 , if emphasizing time-zero fixation, de-emphasizing reliance on biological healing, and minimizing debilitation are deemed critical. Refer to Figure 3 for the framework for this axis of work-up.…”

Section: Disabilitymentioning

confidence: 99%

Conceptualizing Biological Aging and Frailty in Orthopaedics

Cong

Hall

Jia

et al. 2022

Journal of Bone and Joint Surgery

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Biological aging can best be conceptualized clinically as a combination of 3 components: frailty, comorbidity, and disability.Despite advancements in the understanding of senescence, chronological age remains the best estimate of biological age. However, a useful exercise for practitioners is to look beyond chronological age in clinical and surgical decision-making.A chronologically aging person does not age biologically at the same rate.The best way to understand frailty is to consider it as a physical phenotype.Physical optimization should parallel medical optimization before elective surgery.The poorer the host (both in terms of bone quality and propensity for healing), the more robust the implant construct must be to minimize reliance on host biology.

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Section: Disabilitymentioning

confidence: 99%

Conceptualizing Biological Aging and Frailty in Orthopaedics

Cong

Hall

Jia

et al. 2022

Journal of Bone and Joint Surgery

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“…1,8 Therefore, traditional implants demonstrate a very high failure rate in osteoporotic fractures. [9][10][11][12] Locking plates function as fixed angle devices that do not rely on the frictional interface between the plate and bone. Instead, if performed appropriately, standard locked screws do not toggle.…”

Section: Locking Plate Technology and Adventsmentioning

confidence: 99%

“…1,8 Therefore, traditional implants demonstrate a very high failure rate in osteoporotic fractures. 9–12…”

Section: Locking Plate Technology and Adventsmentioning

confidence: 99%

Biomechanics of Osteoporotic Fracture Care: Advances in Locking Plate and Intramedullary Nail Technology

Aneja

Teasdall

Graves

2021

Journal of Orthopaedic Trauma

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The goals of surgery are to provide mechanically stable internal fixation with minimal biologic insult that provides rapid rehabilitation and early mobilization. Novel techniques and technology that reinforce preservation of periosteal blood supply and utilization of biomechanically stable constructs diminish failure rates. Advents in locking plate technology, intramedullary nail designs, bone augmentation, and multiple implant constructs maximize strength while mitigating axial, torsional, and bending failure modes to provide optimal patient outcomes.

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