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. 2016:2016:2918735.
doi: 10.1155/2016/2918735. Epub 2016 Nov 20.

The Biological Metallic versus Metallic Solution in Treating Periprosthetic Femoral Fractures: Outcome Assessment

Serafino Carta  1 , Mattia Fortina  1 , Alberto Riva  1 , Luigi Meccariello  1 , Enrico Manzi  1 , Antonio Di Giovanni  1 , Paolo Ferrata  1
Affiliations

The Biological Metallic versus Metallic Solution in Treating Periprosthetic Femoral Fractures: Outcome Assessment

Serafino Carta et al. Adv Med. 2016.

Abstract

Introduction. The periprosthetic fracture of the femur is, in order of frequency, the fourth leading cause (5.9%) of surgical revision. Our study aims to demonstrate how the grafting of bone splint betters the outcomes. Materials. We treated 15 periprosthetic femoral fractures divided into two groups: PS composed of 8 patients treated with plates and splints and PSS involving 7 patients treated only with plates. The evaluation criteria for the two groups during the clinical and radiological follow-up were the quality of life measured by the Short Form (36) Health Survey (SF-36), Harris Hip Score (HHS), Modified Cincinnati Rating System Questionnaire (MCRSQ), bone healing measured by the Radiographic Union Score (RUS), postoperative complications, and mortality. The evaluation endpoint was set at 24 months for both groups (p < 0.05). Results. The surgery lasted an average of 124.5 minutes for the PS group and 112.6 minutes for the PSS. At 24 months all clinical and radiographic scores were p < 0.05 for the PS group. During follow-up 4 patients (2 in each group) died of causes not related to surgery. Conclusions. The use of the metal plate as opposed to cortical allogenic splint should be taken into consideration as a noteworthy point for periprosthetic femoral fractures.

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Conflict of interest statement

All authors disclose no financial and personal relationships with other people or organizations that could inappropriately influence (bias) their work. Examples of potential competing interests include employment, consultancies, stock ownership, honoraria, paid expert testimony, patent applications/registrations, and grants or other funding.

Figures

Figure 1
Figure 1
Trend of the follow-up to two years of quality of life measured by the Short Form (36) Health Survey (SF-36). At the sixth month of follow-up there was already a statistically significant difference (p < 0.05) in favor of the PS Group.
Figure 2
Figure 2
Trend hip function and quality of life related to it for 2-year follow-up measured by Harris Hip Score (HHS). At six months there was a statistically significant difference (p < 0.05) in favor of the PS group.
Figure 3
Figure 3
Trend of knee function and quality of life related to it for two-year follow-up measured by the Modified Cincinnati Rating System Questionnaire (MCRSQ). At twelve months there was a statistically significant difference (p < 0.05) in favor of the PS group.
Figure 4
Figure 4
Trend of bone healing in two-year follow-up measured by Radiographic Union Score (RUS). At the twelfth month there was a statistically significant difference (p < 0.05) in favor of the PS group.
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