Results of titanium locking plate and stainless steel cerclage wire combination in femoral fractures

El-Zayat, Bilal Farouk; Ruchholtz, Steffen; Efe, Turgay; Paletta, Jürgen R. J.; Kreslo, D.; Zettl, Ralph

doi:10.4103/0019-5413.118200

Cited by 15 publications

(7 citation statements)

References 20 publications

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“…25 However, numerous laboratory, animal, and human studies have shown that combination of dissimilar screws and plates did not accelerate the corrosion than the single-material constructions, indicating comparable clinical safety. 25,26 In the present case, combination of titanium and stainless steel implants did not show any negative effect on fixation stability or bone incorporation at 2-year follow-up.…”

Section: Discussionsupporting

confidence: 46%

The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column

Luenam

Kosiyatrakul

Phakdeewisetkul

et al. 2020

J Orthop Surg (Hong Kong)

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The open distal humeral fracture associated with the major loss of the articular surface and bony structure is a challenging problem for orthopedic surgeons. In this case report, we describe a case of complete missing lateral column of the distal humerus with severe articular destruction of capitellum and lateral trochlear ridge which was treated with the patient-specific implant created with three-dimensional printing technology. Apart from anatomic replacement of the articular surface, the lateral collateral ligament complex and extensor muscle which are the key soft tissue stabilizers of elbow were repaired by reattaching their bony origins to the impacted iliac crest bone graft inside the implant. Due to the favorable result at 2-year follow-up, this modality is a potentially viable surgical option in treating of the severe open distal humeral fracture associated with entire lateral condylar damage.

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Section: Discussionsupporting

confidence: 46%

The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column

Luenam

Kosiyatrakul

Phakdeewisetkul

et al. 2020

J Orthop Surg (Hong Kong)

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“…We consider it salient to carry out long-term clinical and radiologic follow-up of the patient to determine this effect in our particular technique. 17 The clinical relevance of our technique is that it allows early mobilization and weight-bearing, allowing rapid rehabilitation and return to the previous functionality. Our patient shows good clinical results on the immediate postoperative period, 2 weeks, 1 month, and 8 months of follow-up, especially with complete resolution of thigh pain and no radiologic signs of development of new loosening of the endoprosthesis.…”

Section: Discussionmentioning

confidence: 99%

“…However, recent studies such as that of El-Zayat and colleagues, show that there are no differences in bone healing or clinical results in patients with femoral fractures. We consider it salient to carry out long-term clinical and radiologic follow-up of the patient to determine this effect in our particular technique 17…”

Section: Discussionmentioning

confidence: 99%

Proximal Femur Endoprosthesis Augmentation With Polymethylmethacrylate and Condylar Plate: Surgical Technique Description

García

Lee

Rincón

2021

Techniques in Orthopaedics

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Introduction: Aseptic loosening by mechanical failure is one of the main causes of proximal femur endoprosthesis failure with different clinical consequences such as pain, inflammation, progressive loosening of muscular volume, and strength with functional limitation. Materials and Methods:We present the surgical description of the case of a patient with aseptic loosening of proximal femur endoprosthesis that was treated with a novel technique that combines different methods to achieve primary stability.Discussion: Different surgical techniques have been described to treat aseptic loosening of femoral endoprosthesis, including bone allografts, and total femur prosthesis which provides good functional results but high rates of complications such as infection (13%), dislocation (6%), and material failure (3%).Results: Proximal femur endoprosthesis augmentation with polymethylmethacrylate and condylar plate is a novel surgical technique that allows primary stabilization of the construct, early rehabilitation, improvement of functionality, and no signs of new loosening in a follow-up period of 6 months.

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“…Nevertheless, we advise surgeons to follow the current literature and evidence when treating a patient. There is available literature where authors have studied clinical effects of mixing titanium and stainless-steel implants invivo and have found no adverse effects (El-Zayat et al, 2013;Serhan et al, 2004;Koh et al, 2015;Høl et al, 2008. ).…”

Section: Discussionmentioning

confidence: 99%

The stabilising effect by a novel cable cerclage configuration in long cephalomedullary nailing of subtrochanteric fractures with a posteromedial wedge

Mukherjee

Brattgjerd

Niratisairak

et al. 2019

Clinical Biomechanics

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Background: Clinical studies suggest that an adjunctive cerclage in intramedullary nailing of subtrochanteric fractures improves the outcome. Despite this, to what extent various cerclage configurations influences the fixation strength, remains undocumented. We tested the hypothesis that the stability of subtrochanteric fractures with a posteromedial wedge treated with long cephalomedullary nail varies with cerclage configuration. Methods: 40 composite femurs with a subtrochanteric osteotomy including a posteromedialwedge were locked by cephalomedullary nailing (T2 recon, Stryker) and divided into 4 groups. In Group-A no cerclage was applied. The Group-B received a lateral tension-band (cerclage cable with crimp, Depuy-Synthes). Without any fixation, the wedge-component was removed in these groups. The Group-C was fixed with a cerclage encircling the wedge-component, while in the Group-D a novel figure-of-8 cerclage stabilised the wedge-component. Each femur was tested quasi-static in a material-testing-machine for stiffness calculation, first horizontally to simulate seated-position and then vertically to simulate standing-position. Finally, cyclic testing was performed in the upright-posture to measure deformation over time. Findings: In Group-D the mean stiffness in the sitting-position was 6.4, 5.8 and 3.1 times higher than the Groups-A, B and C, respectively, and correspondingly 2.0, 2.1 and 1.7 times higher in the standing-position (p < 0.05). Over time, Group-D demonstrated less mean deformation than tension-band (p = 0.05), while the deformation was not significantly different from the other groups. Interpretation: Additional use of cerclage enhances the stability of intramedullary nailed subtrochanteric fractures, and use of the figure-of-8 cerclage configuration, compressing the entire posteromedial-buttress, is the superior technique.

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Results of titanium locking plate and stainless steel cerclage wire combination in femoral fractures

Cited by 15 publications

References 20 publications

The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column

The patient-specific implant created with 3D printing technology in treatment of a severe open distal humerus fracture with complete loss of the lateral column

Proximal Femur Endoprosthesis Augmentation With Polymethylmethacrylate and Condylar Plate: Surgical Technique Description

The stabilising effect by a novel cable cerclage configuration in long cephalomedullary nailing of subtrochanteric fractures with a posteromedial wedge

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