Archives of orthopaedic and trauma surgery
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Arch Orthop Trauma Surg · Nov 2020
Characteristics of medial condyle sagittal fracture of distal femur involving intercondylar notch in geriatric patients.
Unicondylar femoral fractures are uncommon injuries, known to occur primarily in young people, with high energy trauma. However, according to our experiences, unicondylar femoral fractures in geriatric patients generally involved the medial femoral condyle, unlike previously reported. In addition, the fractures of medial femoral condyle (FMFC) showed a characteristic fracture pattern. To date, there has been no published article focusing on the FMFC in geriatric patients. Thus, the aim of this study was to determine the characteristics of FMFC in geriatric patients and to present their outcomes. ⋯ FMFC caused by low-energy trauma in geriatric patients tend to have a characteristic pattern. We believe that anatomic reduction and firm fixation with Tomofix MDF plate and cannulated screw for low-energy trauma FMFC in geriatric patients would yield good outcomes.
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Arch Orthop Trauma Surg · Nov 2020
Observational StudyComplications of implant removal after healed hip fractures.
Osteosynthesis of pertrochanteric fractures is one of the most frequently performed procedures in orthopaedic trauma care. Auto-dynamization during fracture healing can lead to lateralization of the screw or blade. This can cause debilitating complaints, which sometimes necessitate the removal of the screw or blade. After removal of the implant, we observed spontaneous femoral neck fractures in five patients. This article presents an evaluation of these cases with reference to literature. ⋯ The clinical indications for implant removal in healed pertrochanteric fractures are not well established and should be restricted to specific cases. After removal of these implants without replacement partial weight-bearing should be advised strictly. Based on our findings it is recommended to replace the cephalomedullary nail with a shorter one, ideally combined with implant augmentation.