Total diz artroplastisi sonrası iki taraflı periprostetik distal femur kırıkları

Özcan, Özal; Boya, Hakan; Ateş, Ali; Doğruöz, Fırat

doi:10.5606/ehc.2013.38

Cited by 3 publications

(1 citation statement)

References 16 publications

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“…The left side was open, had more periosteal stripping, and had a 3 × 5 cm cortical piece which was removed explaining the delay in healing. Compared to patients in prior case reports of bilateral periprosthetic distal femur fractures treated with open reduction and internal fixation with plates, our outcomes are equivalent, even with less distal bone stock than either of these reported patients [15], [16]. Another treatment option for our patient would have been bilateral distal femur replacement which may have allowed immediate weight bearing; however, the fracture extended proximally to the mid shaft leaving a short proximal segment for fixation.…”

Section: Discussionmentioning

confidence: 50%

Single stage bilateral flexible intramedullary fixation of periprosthetic distal femur fractures

et al. 2019

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We present a patient with bilateral Rorabeck II/Su III periprosthetic distal femur fractures treated successfully with bilateral single stage flexible intramedullary fixation. Flexible intramedullary fixation of Rorabeck II/Su III periprosthetic distal femur fractures provides the benefits of shorter operative time, lower blood loss, and preservation of bone stock compared to plate fixation and distal femur replacement. We suggest that for patients with similar injuries flexible intramedullary fixation can be a viable treatment option.

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Section: Discussionmentioning

confidence: 50%

Single stage bilateral flexible intramedullary fixation of periprosthetic distal femur fractures

et al. 2019

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Periprosthetic Distal Femur Fracture after Total Knee Arthroplasty: A Systematic Review

Ebraheim

Kelley

Liu

et al. 2015

Orthopaedic Surgery

109

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This study was designed to itemize and analyze the classification of fracture types and their corresponding outcomes in an attempt to provide a better understanding of the current treatment methods. Two PubMed searches were performed using the words "periprosthetic distal femur fracture" and "periprosthetic supracondylar femur fracture" in studies that were published in the previous 10 years (2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014). Data from 41 articlesthat met the general inclusion criteria, were collected and categorized into fracture type and treatment method groupings. Healing outcome and complications were the two parameters used to analyze the data. Treatment techniques were grouped in the following categories: locking plate, non-locking plate, intramedullary nail/rod, screw, blade plate, cerclage wires, allograft, external fixation, revision arthroplasty, non-operative, and other. Classification systems by Lewis and Rorabeck, the Association for Osteosynthesis/Orthopedic Trauma Association (AO/OTA), Su et al., Neer et al., Kim et al., Backstein et al., and the Société Française de Chirurgie Orthopédique et Traumatologique were reported. In total 448 fractures were identified, of which Rorabeck type II was the most common fracture studied. The two most successful treatment options for periprosthetic distal femur fractures were locking plate (87%) and intramedullary nail/rod (84%). The most frequent complications associated with periprosthetic distal femur fractures included non/mal/delayed union and the need for revision. Locking plates used to treat Rorabeck type II fractures had a complication rate of 35% and those treated with intramedullary nailing had a higher complication rate of 53%. In conclusion, the most frequent type of periprosthetic distal femur fracture after total knee arthroplasty was Rorabeck type II. The most common treatments for these types of fractures are locked plating and intramedullary nailing, with similar healing rates of 87% and 84%, respectively. However, the complication rate for locked plating was lower than for intramedullary nailing.

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A Hidden “Suspender” in Irreducible Isolated Anteromedial Radial Head Dislocations – A Case Report and Review

Sheth¹,

Desai²,

Jain³

et al. 2022

JOCR

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Introduction: Isolated anteromedial radial head dislocations are rare and are infrequently associated with hidden musculotendinous sling of superficial brachialis or biceps tendon impeding closed reduction. Failure to identify this impeding tendon can lead an unsuccessful and unstable open reduction surgery. This is the first case of its kind where the delayed presenting patient was treated without resection of the tendon. Case Report: We describe a case of an irreducible neglected isolated anteromedial radial head dislocation in a 7-year-old male child presenting 2 months following injury with features of active heterotrophic ossification (HO). Open surgical exploration 4 months following the injury through the Boyd’s approach revealed a hidden musculotendinous sling of superficial brachialis suspending the radial head anteromedially. Releasing the adhesions and relocation of the tendon allowed spontaneous radiocapitellar joint reduction. The joint congruency was maintained at 18 months and the functional outcome was excellent with a mild flexion-pronation deficit. Conclusion: Awareness of the rare impeding biceps/brachialis tendinous sling in cases of isolated anteromedial radial head dislocation can guide the surgeon to order an indicated preoperative magnetic resonance imaging and plan an early open reduction. HO may occur frequently with such an injury considering the severity of the associated soft-tissue injury.

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Total diz artroplastisi sonrası iki taraflı periprostetik distal femur kırıkları

Cited by 3 publications

References 16 publications

Single stage bilateral flexible intramedullary fixation of periprosthetic distal femur fractures

Single stage bilateral flexible intramedullary fixation of periprosthetic distal femur fractures

Periprosthetic Distal Femur Fracture after Total Knee Arthroplasty: A Systematic Review

A Hidden “Suspender” in Irreducible Isolated Anteromedial Radial Head Dislocations – A Case Report and Review

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