Nightmare of repeated low-energy periprosthetic femoral fracture in a patient with severe osteoporosis – A lesson learned

We report an 85-year-old patient with severe osteoporosis who had suffered from multiple episodes of periprosthetic fracture of the femur. Revision fixation with long-spanning cable plate for bisphosphonate-induced atypical periprosthetic femoral fracture was performed. Nonunion and implant failure...

Descripción completa

Detalles Bibliográficos
Autores principales: Wan, Keith Hay-Man, Choi, Siu-Tong, Wong, Kevin KH, Wong, Kam-Kwong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7062940/
https://www.ncbi.nlm.nih.gov/pubmed/32181317
http://dx.doi.org/10.1016/j.tcr.2020.100287
Descripción
Sumario:We report an 85-year-old patient with severe osteoporosis who had suffered from multiple episodes of periprosthetic fracture of the femur. Revision fixation with long-spanning cable plate for bisphosphonate-induced atypical periprosthetic femoral fracture was performed. Nonunion and implant failure occurred at 16 months requiring revision surgery using long-stem femoral prosthesis with cable-plate fixation. To further facilitate bone healing, allograft and bone morphogenetic protein (BMP) were added. Eventually bone union was achieved after one year.

Ejemplares similares