Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.
J Orthop Trauma. 2019 Aug;33 Suppl 1:S30-S31. doi: 10.1097/BOT.0000000000001549.
Periprosthetic fracture nonunions represent a rare problem in orthopaedic practice, although their incidence has increased with the increased frequency of joint replacement surgery. This video demonstrates the use of a linked nail-plate construct to repair a distal femoral periprosthetic fracture nonunion.
The patient is a 93-year-old woman who is 1-year status-post a left distal femoral periprosthetic fracture with known delayed healing. She presents with a low energy trauma and hardware failure. The patient was indicated for operative fixation using a linked nail-plate construct given the patient's previous hardware failure, advanced age, and poor bone quality.
This video demonstrates the linked nail-plate technique for the repair of a distal femoral periprosthetic fracture nonunion. Anatomical reduction and stable fixation with bone graft was performed with excellent results. There were no intraoperative or postoperative complications and no issues related to metallurgy.
In this video, we present the case of an atrophic distal femoral periprosthetic nonunion treated with a linked nail-plate construct with autologous bone graft. Although femoral periprosthetic fracture nonunions are a rare occurrence, they can be successfully treated with operative intervention aimed at compression plating with supplemental bone grafting.
尽管随着关节置换手术频率的增加，假体周围骨折不愈合已成为骨科实践中的一个罕见问题，但此类病例的发生率有所增加。本视频演示了使用锁定接骨板固定系统修复股骨远端假体周围骨折不愈合。
患者为 93 岁女性，1 年前因左股骨远端假体周围骨折行手术治疗，已知存在延迟愈合。此次因低能量创伤和内固定物失败就诊。考虑到患者既往内固定物失败、高龄和骨质量差，选择使用锁定接骨板固定系统进行手术固定。
本视频演示了使用锁定接骨板技术治疗股骨远端假体周围骨折不愈合。通过自体骨植骨实现了解剖复位和稳定固定，获得了良好的结果。术中及术后均无并发症，也不存在与金属植入物相关的问题。
在本视频中，我们介绍了使用锁定接骨板固定系统联合自体骨植骨治疗萎缩性股骨远端假体周围骨折不愈合的病例。虽然股骨假体周围骨折不愈合较为罕见，但通过旨在实现加压固定并辅以植骨的手术干预，可以成功治疗此类疾病。
