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- Raveesh D Richard, Roman M Natoli, Anthony T Sorkin, Walter W Virkus, and Greg E Gaski.
- Centura Orthopaedics & Spine, 9949 S. Oswego St, Ste 200, Parker, CO, 80134, USA. raveeshrichard@centura.org.
- Int Orthop. 2020 Nov 1; 44 (11): 2283-2289.
BackgroundPeriprosthetic femur fractures (PPFF) distal to a femoral stem are traditionally treated with open reduction and internal fixation (ORIF) with plate and screws. To our knowledge, no studies exist comparing outcomes following ORIF vs retrograde intramedullary nails (RIMN) for this injury.MethodsThis is a retrospective comparison of PPFFs distal to a femoral stem treated by ORIF (n = 17) vs RIMN (n = 13). The primary outcome was unplanned re-operation.ResultsThere was no difference in unplanned re-operation (17.6 vs 23.1%, p > 0.99), infection, nonunion, refracture, and alignment between groups. The RIMN group had shorter surgical time (89 vs 157 min, p < 0.01), less blood loss (137 vs 291 ml, p = 0.03), and greater obesity.ConclusionRIMN is a potential option for operative fixation of PPFF distal to a femoral stem worthy of additional study.
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