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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2003 December;54(6):421-6
Mennen’s plate in the treatment of femoral diaphyseal periprosthetic fractures
Fancellu G., Schiavon D., Biber Z.
Unità Clinica Operativa di Ortopedia e Traumatologia Ospedale di Cattinara, Trieste
Aim. Fractures of the femoral diaphysis in the proximity of the stem following hip or knee arthroplasty represent infrequent but critical complications, especially in the elderly. Surgical treatment, however, is the technique of choice with either positioning of straight plates, removal of the bone marrow component and positioning of a long endomedullary nail or substitution of the stem with a stem revision prosthesis. The aim of our study was to analyse the use of Mennen’s plate in the treatment of these factures.
Methods. Between January 1998 and December 2001 we operated 13 patients, 4 male and 9 female who presented fractures of type II and III according to D’Imporzano, of type B according to Duncan and Masri and of type II according to the radiological classification. Great importance was attributed to the clinical evaluation of the patient and the carrying out of adequate preoperative preparation which enabled us to operate patients in an average of 5 days.
Results. Generally speaking patients in the postoperative period were subjected to rehabilitative treatment in bed from 2nd day; from the 14th day they are allowed to walk with the aid of crutches, it being absolutely forbidden to put weight on the operated extremity for 4-8 weeks, at the end of which, 25% of the patient’s weight can be attempted with a progressive increase in loading.
Conclusion. These patients were studied for a period of 15 to 35 months with control X-ray and clinical evaluation and compilation of a questionnaire with satisfactory results in all cases.