Peri-Implant Distal Radius Fracture: Proposal of a New Classification

Stramazzo, Leonardo; Rovere, Giuseppe; Cioffi, Alessio; Vigni, Giulio Edoardo; Galvano, Nicolò; D’Arienzo, Antonio; Mauro, Giulia Letizia; D’Arienzo, Michele

doi:10.3390/jcm11092628

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…The surgical methods employed for wrist implants can determine post-operative outcomes. In our study the treatment did not completely follow the therapeutic algorithm recommended by Stramazzo in his article according to the new classification [ 22 ]. We replace the plate with a DCP plate, not with a longer anatomical plate because it was not available at the time of surgery.…”

Section: Discussionmentioning

confidence: 94%

“…Such fractures commonly present as stress fractures that occur in close proximity to the distal end of the implant. Based on the fracture level and the specific type of plate failure, we applied the classification proposed by D'Arienzo for peri-implant wrist fractures, categorizing it as type C1U (radius fractures occur proximally, within 3.5cm from the plate and in association with a fracture of the ulna) [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

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Peri-implant distal radius fracture due to car collision

Poroh,

Gheorghevici,

Puha

2023

Arch Clin Cases

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Peri-implant fractures have gained increasing importance in orthopedics as the number of surgical procedures involving orthopedic implants rises globally. These fractures pose a significant challenge in terms of diagnosis, treatment, and postoperative management. They manifest as stress fractures distal to the implant site. Developing an effective treatment strategy involves evaluating multiple influencing factors. This article presents a rare case of a peri-implant distal radius fracture in a 63-year-old man, with no comorbidities, resulting from a car accident, classified as C1U in the Michele D’Arienzo system. The surgical intervention included plate fixation for the radius and wire fixation for the ulna. The wire was used for ulna instead of a plate, due to skin injuries, with good results. As life expectancy rises and individuals remain active in their elder years, the incidence of peri-implant fractures is expected to increase. Factors such as the implant type, surgeon's approach, and patient-specific elements may influence peri-implant fracture occurrence. The widespread use of plate fixation for distal radius fractures may also contribute to a parallel increase in such fractures. Providing detailed context and specific case presentation allows better understanding and implications for clinical practice.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Peri-implant distal radius fracture due to car collision

Poroh,

Gheorghevici,

Puha

2023

Arch Clin Cases

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“…Other authors considered different bones than the femur: Stramazzo et al [26] reviewed all cases of peri-implant radius fracture reported in the literature and described a new classification for this type of fracture.…”

Section: Discussionmentioning

confidence: 99%

A Novel Comprehensive Classification for Non-Prosthetic Peri-Implant Fractures

Lucenti,

de Cristo,

Costarella

et al. 2023

Surgeries

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Non-prosthetic peri-implant fractures (NPPIFs) are often reported mixed with periprosthetic fractures (PPFs), but they are different entities. Due to the increase in the age of the world’s population and to the intensification of surgeries for fractures, nowadays, peri-implant fractures are a very frequent entity in clinical practice, with an increasing trend expected in the future. A clear exclusive classification of NPPIFs is not reported in the literature. The aim of this study is to provide a valid comprehensive classification for all the NPPIFs. X-rays of all the peri-implant cases treated in our unit in a 3-year period were retrospectively collected. Five orthopedic surgeons reviewed 30 X-rays of NPPIFs, providing a code according to the classification proposed. After a 3-month interval, they reviewed the same X-rays. Eighteen femoral, eight humeral, and four forearm peri-implant fractures were collected and showed to the raters. Inter- and intra-observer reliability was calculated using a k-statistic, showing a moderate agreement between observers (κ = 0.73) and a substantial agreement between the observations of the same viewer (κ = 0.82). The literature lacks a comprehensive classification for peri-implant fractures that considers all the bones and all the types of implants. The proposed classification is meant to be an instrument for orthopedic surgeons to categorize these types of fractures and seems to be simple, easy to comprehend, and reproducible. This new classification can provide the orthopedic surgeon a reliable method to clearly catalogue different fractures according to the site and the implants; the physicians can use it, through a code, in clinical practice to describe an NPPIF without the need of images. Further studies may be necessary to confirm the validity and eventually to improve the suggested classification.

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“…Purpose of fracture treatment is to achieve the union of the bone fragments [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 ]. Moreover, it is to restore the function of the musculoskeletal system and prevent future complications associated with the failure of restoration of the normal anatomy [ 10 , 11 , 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Quantitative Assessment of the Restoration of Original Anatomy after 3D Virtual Reduction of Long Bone Fractures

Kim

Yoon²,

Shin

et al. 2022

Diagnostics

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Background: The purpose of this study was to demonstrate the usefulness of 3D image-based virtual reduction by validating the evaluation criteria according to guidelines suggested by the AO Surgery Reference. Methods: For this experiment, 19 intact radial ORTHObones (ORTHObones radius, 3B Scientific, Germany, Hamburg) without any fractures were prepared. All ORTHObones with six cortical marking holes (three points on the distal part and three points on the proximal part) were scanned using a CT scanner twice (before/after intentional fracture of the ORTHObone). After the virtual reduction of all 19 ORTHObones, accuracy evaluations using the four criteria (length variation, apposition variation, alignment variation, Rotation Variation) suggested in the AO Surgery Reference were performed. Results: The mean (M) length variation was 0.42 mm, with 0.01 mm standard deviation (SD). The M apposition variation was 0.48 mm, with 0.40 mm SD. The M AP angulation variation (for alignment variation) was 3.24°, with 2.95° SD. The M lateral angulation variation (for alignment variation) was 0.09°, with 0.13° SD. The M angle of axial rotation was 1.27° with SD: 1.19°. Conclusions: The method of accuracy evaluation used in this study can be helpful in establishing a reliable plan.

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Peri-Implant Distal Radius Fracture: Proposal of a New Classification

Cited by 5 publications

References 19 publications

Peri-implant distal radius fracture due to car collision

Peri-implant distal radius fracture due to car collision

A Novel Comprehensive Classification for Non-Prosthetic Peri-Implant Fractures

Quantitative Assessment of the Restoration of Original Anatomy after 3D Virtual Reduction of Long Bone Fractures

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