Overlapping intramedullary nailing after failed minimally

Injury · Jan 2015

Case Reports

Overlapping intramedullary nailing after failed minimally invasive locked plating for osteoporotic distal femur fractures - Report of 2 cases.

Minimally invasive plate osteosynthesis (MIPO) using a locking plate has been widely used for distal femur fractures in the elderly with osteoporosis and yielded favourable results. However, implant failure and subsequent periplate fracture have still occurred owing to the controversy of concepts regarding locked plating. The treatment after failed MIPO in elderly patients is very challenging and has been not yet addressed definitely in the literature, although several options can be considered. We report the successful outcomes of two cases treated with overlapping intramedullary (IM) nailing for implant failure and periplate fracture after MIPO for osteoporotic distal femur fracture, along with simple tips of distal interlocking of IM nail.

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- Je-Hyun Yoo, Seok-Woo Kim, Yoon-Hae Kwak, and Hyung-Jun Kim.
- Department of Orthopaedic Surgery, Hallym University Sacred Heart Hospital, Hallym University School of Medicine, Anyang, South Korea. Electronic address: oships@hallym.ac.kr.
- Injury. 2015 Jan 1; 46 (6): 1174-7.
AbstractMinimally invasive plate osteosynthesis (MIPO) using a locking plate has been widely used for distal femur fractures in the elderly with osteoporosis and yielded favourable results. However, implant failure and subsequent periplate fracture have still occurred owing to the controversy of concepts regarding locked plating. The treatment after failed MIPO in elderly patients is very challenging and has been not yet addressed definitely in the literature, although several options can be considered. We report the successful outcomes of two cases treated with overlapping intramedullary (IM) nailing for implant failure and periplate fracture after MIPO for osteoporotic distal femur fracture, along with simple tips of distal interlocking of IM nail. Copyright © 2015 Elsevier Ltd. All rights reserved.

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Overlapping intramedullary nailing after failed minimally invasive locked plating for osteoporotic distal femur fractures - Report of 2 cases.

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