Arch Orthop Trauma Surg (2017) 137:1193–1200 DOI 10.1007/s00402-017-2745-4 ORTHOPAEDIC SURGERY Locking attachment plate ﬁxation around a well-ﬁxed stem in periprosthetic femoral shaft fractures 2 1 2 1 • • • • Min Bom Kim Jae-Woo Cho Young Ho Lee Won-Yong Shon 2 3 1 • • Jung Wee Park Jinil Kim Jong-Keon Oh Received: 5 February 2017 / Published online: 8 July 2017 Springer-Verlag GmbH Germany 2017 Abstract part with an underlying stem was ﬁxed using 3.5-mm Introduction Periprosthetic fractures are difﬁcult to man- locking screws through the LAP instead of cables. Post- age. Plating technique has been considered a reliable form operatively, patients were managed using general princi- of management of periprosthetic fractures with a well-ﬁxed ples for femoral shaft fractures. stem, but a dependable and stable method of plate ﬁxation Results Average follow-up was 16 months (range to the bone is lacking. This study reports the clinical results 12–36 months). All cases achieved fracture healing with- using a locking attachment plate (LAP) instead of cable out loss of reduction. There were no cases of implant ﬁxation to ﬁx locking plates to a periprosthetic femoral breakage or stem loosening at ﬁnal follow-up. The average shaft fracture. number of
Archives of Orthopaedic and Trauma Surgery – Springer Journals
Published: Jul 8, 2017
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