Traumatic periimplant fracture after nail arthrodesis of the knee in a limb reconstruction case

Žák, Lukáš; Tiefenboeck, Thomas M.; Wozasek, Gerald E.

doi:10.1016/j.tcr.2019.100173

Cited by 2 publications

(1 citation statement)

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“…Failures after IM fixations are rare but immensely challenging. In these cases, fixation with a longer implant may be the best option [25]. To achieve optimal results after the operation, new procedures during the operation are investigated.…”

Section: Discussionmentioning

confidence: 99%

Corrective Osteotomies in Severe Non-Idiopathic Lower Limb Alignment Disorders in the Aspect of Future Joint Endoprosthesis—A Perspective Study

Kołodziejczyk,

Saganek,

Czwojdziński

et al. 2023

JCM

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The aim of this study was to retrospectively evaluate the effectiveness of corrective osteotomies in lower limb axis disorders at different levels of non-idiopathic (post traumatic, developmental, post-septic) etiology. A total of 50 patients were divided into three groups: A—thigh segment alignment disorder (24 patients); B—tibia segment alignment disorder (18 patients); C—thigh and tibia segment alignment disorder (8 patients). Radiological evaluation of digital lower limb postural X-ray was performed laterally and for AP, and included mLPFA, mLDFA, MAD, CORA coronal and sagittal plane parameters for the femur segment and mMPTA, mLDTA, MAD, CORA coronal and sagittal plane for the tibia segment. Clinical assessment was based on the LLFI. The mean follow-up was 55.8 months (12–86). Improvements in the radiological parameters and statistical significance were achieved for all measurements in all groups (p < 0.05). The most common plane of deformation was the coronal plane (varus/valgus), followed by the transverse (rotational) and sagittal planes (procurvatum/recurvatum). In this study, we examined 29 post-traumatic deformities and 21 other etiologies. Improvements in the LLFI score performance after corrective osteotomies were observed in all three groups. Corrective osteotomies are a safe and useful but challenging method of preserving joints in cases of post-traumatic, developmental or post-septic lower limb alignment disorders.

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Section: Discussionmentioning

confidence: 99%