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Management of Short Proximal Femur Nail Peri-Implant Fracture of Femur Shaft with Implant Removal and Long Distal Femur Locking Plate and Bone Grafting – A Case Report
INTRODUCTION: The rising demographic trend towards elderly population and increased incidence of osteosynthesis of proximal femur fractures are associated with increased recurrent falls and rise in incidence of peri- implant fractures. CASE REPORT: Here, we present a difficult case of a peri-implant...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9499139/ https://www.ncbi.nlm.nih.gov/pubmed/36199730 http://dx.doi.org/10.13107/jocr.2022.v12.i02.2670 |
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author | Mahajan, Neetin P Ghoti, Santosh Patil, Tushar C Pande, Kartik P Talukder, Pritam |
author_facet | Mahajan, Neetin P Ghoti, Santosh Patil, Tushar C Pande, Kartik P Talukder, Pritam |
author_sort | Mahajan, Neetin P |
collection | PubMed |
description | INTRODUCTION: The rising demographic trend towards elderly population and increased incidence of osteosynthesis of proximal femur fractures are associated with increased recurrent falls and rise in incidence of peri- implant fractures. CASE REPORT: Here, we present a difficult case of a peri-implant femur shaft fracture in a 55-year-old male, with stuck short proximal femur nail (PFN) removal followed by long distal femur plating with bone grafting showing good fracture union at 1 year with satisfactory functional outcome. CONCLUSION: Peri- implant femur fractures are quite rare and more commonly occur in elderly. Among all treatment modalities for intertrochanteric femur fracture fixation, the literature shows short PFN having highest comparative risk for peri-implant fractures. Implant removal followed by locking plates for long spiral fractures provides a stable, anatomical, and reliable fixation. Bone grafting augments bony union, especially in cases of bone defects . |
format | Online Article Text |
id | pubmed-9499139 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-94991392022-10-04 Management of Short Proximal Femur Nail Peri-Implant Fracture of Femur Shaft with Implant Removal and Long Distal Femur Locking Plate and Bone Grafting – A Case Report Mahajan, Neetin P Ghoti, Santosh Patil, Tushar C Pande, Kartik P Talukder, Pritam J Orthop Case Rep Case Report INTRODUCTION: The rising demographic trend towards elderly population and increased incidence of osteosynthesis of proximal femur fractures are associated with increased recurrent falls and rise in incidence of peri- implant fractures. CASE REPORT: Here, we present a difficult case of a peri-implant femur shaft fracture in a 55-year-old male, with stuck short proximal femur nail (PFN) removal followed by long distal femur plating with bone grafting showing good fracture union at 1 year with satisfactory functional outcome. CONCLUSION: Peri- implant femur fractures are quite rare and more commonly occur in elderly. Among all treatment modalities for intertrochanteric femur fracture fixation, the literature shows short PFN having highest comparative risk for peri-implant fractures. Implant removal followed by locking plates for long spiral fractures provides a stable, anatomical, and reliable fixation. Bone grafting augments bony union, especially in cases of bone defects . Indian Orthopaedic Research Group 2022-02 2022-02 /pmc/articles/PMC9499139/ /pubmed/36199730 http://dx.doi.org/10.13107/jocr.2022.v12.i02.2670 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/3.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Mahajan, Neetin P Ghoti, Santosh Patil, Tushar C Pande, Kartik P Talukder, Pritam Management of Short Proximal Femur Nail Peri-Implant Fracture of Femur Shaft with Implant Removal and Long Distal Femur Locking Plate and Bone Grafting – A Case Report |
title | Management of Short Proximal Femur Nail Peri-Implant Fracture of Femur Shaft with Implant Removal and Long Distal Femur Locking Plate and Bone Grafting – A Case Report |
title_full | Management of Short Proximal Femur Nail Peri-Implant Fracture of Femur Shaft with Implant Removal and Long Distal Femur Locking Plate and Bone Grafting – A Case Report |
title_fullStr | Management of Short Proximal Femur Nail Peri-Implant Fracture of Femur Shaft with Implant Removal and Long Distal Femur Locking Plate and Bone Grafting – A Case Report |
title_full_unstemmed | Management of Short Proximal Femur Nail Peri-Implant Fracture of Femur Shaft with Implant Removal and Long Distal Femur Locking Plate and Bone Grafting – A Case Report |
title_short | Management of Short Proximal Femur Nail Peri-Implant Fracture of Femur Shaft with Implant Removal and Long Distal Femur Locking Plate and Bone Grafting – A Case Report |
title_sort | management of short proximal femur nail peri-implant fracture of femur shaft with implant removal and long distal femur locking plate and bone grafting – a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9499139/ https://www.ncbi.nlm.nih.gov/pubmed/36199730 http://dx.doi.org/10.13107/jocr.2022.v12.i02.2670 |
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