Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
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Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_ Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

sicot.org
30.01.2013 Views

Poster Topic: Trauma - Femur Abstract number: 24562 EFFECTIVENESS OF A DOCKING NAIL IN TREATING A FEMORAL FRACTURE AROUND THE SINKING STEM AFTER TOTAL HIP REPLACEMENT Asuka KASAI 1 , Shunji NAKANO 1 , Risa UTSUNOMIYA 1 , Masaru NAKAMURA 1 , Takashi CHIKAWA 1 , Tateaki SHIMAKAWA 1 , Hideaki MIYASHI 2 , Hiroshi MIKAMI 2 , Ryo MIYAGI 3 1 Department of Orthopaedics, Tokushima Municipal Hospital, Tokushima, Japan, Tokushima (JAPAN), 2 Department of Orthopaedics, Oekyo Hospital, Tokushima, Japan, Yoshinogawa (JAPAN), 3 Department of Orthopaedics, Kaminaka Hospital, Tokushima, Japan, Kaminaka (JAPAN) During osteosynthesis, stable fixation is often difficult to achieve because elderly patients have osteoporotic bone and most of the intramedullary space is occupied by the metal stem implanted in the proximal femoral shaft. Therefore, we developed a new surgical treatment for postoperative periprosthetic femoral fracture by using a trimmed intramedullary nail, which we refer to as a docking nail. The patient, a 76years-old woman, sustained a femoral shaft fracture around the sinking femoral prosthesis after cementless total hip replacement which she had undergone 2 years earlier. To treat the femoral fracture, the docking nail was cut to an appropriate length and trimmed so that it adhered to the tip of stem, on the basis of the size and shape of the stem as well as data obtained from preoperative radiographs. We then performed the same procedure as osteosynthesis by using the conventional supracondylar intramedullary nail in a retrograde manner. We did not open the fracture site and connected the docking nail to the tip of the implanted stem to maintain correct alignment. After the operation no immobilization was used, partial weight bearing was allowed at 4 weeks, and full weight bearing at 12 weeks. Within 3 months, well-aligned bony union was observed without malunion or infection. The woman did not experience any pain around the hip and fracture site during the followup period of 12 months. The use of a docking nail is less invasive and simpler as compared to other methods. 524

Poster Topic: Trauma - Femur Abstract number: 25048 MINIMALLY INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS IN FEMORAL FRACTURES Alexandre SITNIK 1 , Alexandr BELETSKY 2 1 Belarus Republic Scientific and Practical Center for Traumatology and Orthopaedics, Minsk (BELARUS), 2 Belarus republic Scientific adn Practical Center for Traumatology and Orthopaedics, Minsk (BELARUS) Aim: The evaluation of efficacy of percutaneous plate osteosynthesis in femoral fractures.Mat: 35 patients with femoral fractures treated in our hospital with this technique from 2004 were included. There were 11 intraarticular distal femoral fractures, in 10 metadyaphyseal and in 14 shaft fractures occurred. Multiple injuries were seen in 14 patients. Fracture fixation was achieved with the use of LC-DCP (8), DCS (13) and LCP (14). Immediate motion in the knee and partial weight-bearing were initiated after the surgery. Further increase of weight-bearing was allowed according to X-ray taken with 2 months intervals.Results: Immediate post-operative axial deviations exceeding 5° were not seen. One 38 y.o. woman felt from the stairs what resulted in bending the plate on 16°. Closed m anual correction was performed with residual 7° of varus, consolidation in this po sition achieved. All fractures (except 1) united in terms from 3 to 8 months after the surgery depending on severity of the injury and the type of the fracture. 1 delayed union in 49 y.o. woman occurred: it was seen radiologically with painless full weight-bearing 6 months after the injury: bone grafting was performed. No other additional procedures were done.Mean follow-up comprised 20.3±4.6 months. The results according to Neer score comprised 87.3±4.1, mean ROM in knee was 107.1±9.1º.Conclusions: MIPPO of femoral fractures is reliable treatment modality in distal femoral fractures and also in femoral shaft fractures where IM-nailing is not available or technically possible. 525

Poster<br />

Topic: Trauma - Femur<br />

Abstract number: 25048<br />

MINIMALLY INVASIVE PERCUTANEOUS PLATE OSTEOSYNTHESIS IN<br />

FEMORAL FRACTURES<br />

Alexandre SITNIK 1 , Alexandr BELETSKY 2<br />

1 Belarus Republic Scientific and Practical Center for Traumatology and<br />

Orthopaedics, Minsk (BELARUS), 2 Belarus republic Scientific adn Practical Center<br />

for Traumatology and Orthopaedics, Minsk (BELARUS)<br />

Aim: The evaluation of efficacy of percutaneous plate osteosynthesis in femoral<br />

fractures.Mat: 35 patients with femoral fractures treated in our hospital with this<br />

technique from 2004 were included. There were 11 intraarticular distal femoral<br />

fractures, in 10 metadyaphyseal and in 14 shaft fractures occurred. Multiple injuries<br />

were seen in 14 patients. Fracture fixation was achieved with the use of LC-DCP (8),<br />

DCS (13) and LCP (14). Immediate motion in the knee and partial weight-bearing<br />

were initiated after the surgery. Further increase of weight-bearing was allowed<br />

according to X-ray taken with 2 months intervals.Results: Immediate post-operative<br />

axial deviations exceeding 5° were not seen. One 38 y.o. woman felt from the stairs<br />

what resulted in bending the plate on 16°. Closed m anual correction was performed<br />

with residual 7° of varus, consolidation in this po sition achieved. All fractures (except<br />

1) united in terms from 3 to 8 months after the surgery depending on severity of the<br />

injury and the type of the fracture. 1 delayed union in 49 y.o. woman occurred: it was<br />

seen radiologically with painless full weight-bearing 6 months after the injury: bone<br />

grafting was performed. No other additional procedures were done.Mean follow-up<br />

comprised 20.3±4.6 months. The results according to Neer score comprised<br />

87.3±4.1, mean ROM in knee was 107.1±9.1º.Conclusions: MIPPO of femoral<br />

fractures is reliable treatment modality in distal femoral fractures and also in femoral<br />

shaft fractures where IM-nailing is not available or technically possible.<br />

525

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