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BIOMATERIALS IN ORTOPEDICS: EXPECTATION AND CLINICAL PRACTICE  96° CONGRESS OF THE PIEDMONTESE-LIGURIAN-LOMBARD SOCIETY OF ORTHOPEDICS AND TRAUMATOLOGY (SPLLOT) (Brescia, September 24-25, 1999) 

Minerva Ortopedica e Traumatologica 2000 June;51(3):141-6

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: Italian

Femoral fractures after hip replacement 29 cases

Megaro A., Bianchini M., D’Averio D., Egidio A. C., Savarese A., Pazzaglia U. E.


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Postoperative femoral fractures incidence after hip replacement increased in last years (0,1-2,1%). These fractures can be caused by a high energy trauma, or by a low energy trauma, unable to produce a fracture. In the latter case, a risk factor is always present: implant loosening, osteolytic lesions, relevant osteopenia. The treatment of periprosthetic fractures of the femur is a difficult problem. The treatment's goal is always to obtain an early recovery of the fractured limb. Management and technical solution of 29 femoral fractures after hip arthroplasty, treated at Orthopaedic Division of Spedali Civili, Brescia and Ospedale di Manerbio, are analyzed: nonoperative treatment in 2 cases, osteosynthesis in 14 cases (6 cerclage wires, 3 plate an screws, 4 ''special'' plates, 1 external fixator), long-stemmed non-cemented revision in 13 cases. Fracture pattern, but also implant stability and patient's clinical conditions, were the relevant factors for choice. Fractures consolidation without complications was obtained in 26 cases (89,7%), with total weight bearing after 4,8 months.

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