Reversed distal femoral locking plate for failed proximal femoral nail with non-union of proximal femoral fractures

Vaishya, Raju; Agarwal, Amit Kumar; Gupta, Nishint; Vijay, Vipul

doi:10.1007/s00264-015-3002-5

Cited by 9 publications

(11 citation statements)

References 22 publications

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“…A recent meta-analysis showed advantages of intramedullary nailing over extramedullary fixation in terms of fracture fixation complications, which is why their use in elderly patients is particularly recommended [ 12 ]. However, if intramedullary fixation fails, it leaves behind a situation to deal with due to the disturbed anatomy of the proximal femur and poor bone stock left for fracture fixation by other implants during re-osteosynthesis [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Several factors (e. g. varus malalignment, tip apex distance) have been reported to be risk factors for failure. If intramedullary fixation fails, it leaves behind a complex situation to deal with due to the disturbed anatomy of the proximal femur and poor bone stock left for fracture fixation by other implants during re-osteosynthesis [ 6 ]. Various authors have claimed that the only valid option to salvage failed intramedullary fixation is total hip arthroplasty (THA).…”

Section: Introductionmentioning

confidence: 99%

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Application of the reversed LISS-DF technique in an elderly patient to salvage infection-related failure of trochanteric fracture fixation

Hanke

Beckmann

Keel

et al. 2021

Trauma Case Reports

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Failure of cephalomedullary fixation in geriatric trochanteric fractures is a potential complication. Attempts have been made to optimize the implant fixation (e. g. cement augmentation) and several factors (e. g. malreduction, tip apex distance) have been identified as risk factors for failure. Nevertheless, if intramedullary fixation fails, it is often associated with bone defects in mostly preexisting poor bone-stock. Accordingly, conversion to total hip arthroplasty (THA) is recommended by some authors as the only valid treatment option. However, in specific situations (e. g. implant associated infection) conversion to THA might be less reasonable than an attempt to re-osteosynthesis. This article reports on the successful use of a reversed contralateral LISS-DF (LISS for the distal femur, DePuy Synthes, Zuchwil, Switzerland) application after failed cephalomedullary fixation and failed re-osteosynthesis using a blade plate in a trochanteric fracture in an elderly patient with additional implant associated infection.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Application of the reversed LISS-DF technique in an elderly patient to salvage infection-related failure of trochanteric fracture fixation

Hanke

Beckmann

Keel

et al. 2021

Trauma Case Reports

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show abstract

“…However, the lateral decubitus position was used while operating the patients, and hence it is difficult and cumbersome to take lateral images and to evaluate them for the position of screws. This fact needs to be addressed in the studyDistal femoral locking compression plate (DF-LCP) is a 95° fixed angle device 2. When it is applied proximally using the locking screws, the screws will go at an angle of 95°, passing through Ward's triangle and will occupy the lower portion of the femoral head.…”

mentioning

confidence: 99%

“…Distal femoral locking compression plate (DF-LCP) is a 95° fixed angle device 2. When it is applied proximally using the locking screws, the screws will go at an angle of 95°, passing through Ward's triangle and will occupy the lower portion of the femoral head.…”

mentioning

confidence: 99%

Reverse distal femoral locking compression plate a salvage option in nonunion of proximal femoral fractures

Siddiqui

Sherwani

2017

IJOO

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“…Proximal femoral nail, by virtue of its biomechanical properties, provides rotational stability to proximal fragment, however PFN is technically demanding and frequently associated with implant failure and failed osteosynthesis [4,5,6] . Distal femoral locking plate anatomy matches with opposite proximal femur [7,8] and so it can be used as an alternative extramedullary implant. We have evaluated the efficacy of reverse supracondylar locking plate for the management of unstable peritrochanteric fractures.…”

Section: Introductionmentioning

confidence: 99%

Reverse distal femoral locking plate for the management of unstable peritrochanteric femoral fracture

Waliullah¹,

Kumar²,

Dharmendra³

et al. 2018

Int. J. Orthop. Sci.

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Background: Dynamic Hip screw(DHS) is gold standard for fixation of stable intertrochanteric fractures and for unstable fractures proximal femoral nail (PFN) is preferred implant however PFN is technically demanding and has frequent complications. We have evaluated the efficacy of reverse supracondylar locking plate for the management of unstable peritrochanteric fractures. Methods and material: 23 patients with unstable peritrochanteric fracture were recruited in our study as per AO classification. All the patients, after getting informed consent, were treated surgically by reverse supracondylar locking plate. Functional outcome was evaluated in terms of Harris Hip Score. Results: After a minimum follow-up of 29 months, all patients have shown fracture healing and union at mean of 12.4 weeks. The Harris Hip score at most recent follow up was 84.1. Outcomes were excellent in 14.2%, good in 61.9%, fair in 9.5%while poor in 14.2%. Conclusion: By virtue of our results we can recommend that reverse supracondylar locking plate can be used as an alternative, viable and easily available implant that can be used effectively for unstable peritrochanteric fractures.

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Reversed distal femoral locking plate for failed proximal femoral nail with non-union of proximal femoral fractures

Cited by 9 publications

References 22 publications

Application of the reversed LISS-DF technique in an elderly patient to salvage infection-related failure of trochanteric fracture fixation

Application of the reversed LISS-DF technique in an elderly patient to salvage infection-related failure of trochanteric fracture fixation

Reverse distal femoral locking compression plate a salvage option in nonunion of proximal femoral fractures

Reverse distal femoral locking plate for the management of unstable peritrochanteric femoral fracture

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