Overlapping intramedullary nailing after failed minimally invasive locked plating for osteoporotic distal femur fractures – Report of 2 cases

Abstract Minimally invasive plate osteosynthesis (MIPO) using a locking plate has been widely used for distal femur fractures in the elderly with osteoporosis and yielded favourable results. However, implant failure and subsequent periplate fracture have still occurred owing to the controversy of co...

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Bibliographic Details
Published in:Injury 2015-06, Vol.46 (6), p.1174-1177
Main Authors: Yoo, Je-Hyun, Kim, Seok-Woo, Kwak, Yoon-Hae, Kim, Hyung-Jun
Format: Article
Language:English
Subjects:
Aged
Biomechanical Phenomena
Bone Nails
Bone Plates
Distal femur
Failed MIPO
Female
Femoral Fractures - diagnostic imaging
Femoral Fractures - pathology
Femoral Fractures - surgery
Fracture Fixation, Intramedullary - methods
Fracture Healing
Humans
Minimally Invasive Surgical Procedures
Orthopedics
Osteoporotic fracture
Osteoporotic Fractures - diagnostic imaging
Osteoporotic Fractures - pathology
Osteoporotic Fractures - surgery
Overlapping IM nailing
Radiography
Range of Motion, Articular
Treatment Outcome
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Summary:Abstract Minimally invasive plate osteosynthesis (MIPO) using a locking plate has been widely used for distal femur fractures in the elderly with osteoporosis and yielded favourable results. However, implant failure and subsequent periplate fracture have still occurred owing to the controversy of concepts regarding locked plating. The treatment after failed MIPO in elderly patients is very challenging and has been not yet addressed definitely in the literature, although several options can be considered. We report the successful outcomes of two cases treated with overlapping intramedullary (IM) nailing for implant failure and periplate fracture after MIPO for osteoporotic distal femur fracture, along with simple tips of distal interlocking of IM nail.
ISSN:0020-1383
1879-0267
DOI:10.1016/j.injury.2015.01.011