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. 2020 May 11;91(2):297-304.
doi: 10.23750/abm.v91i2.8608.

Surgical treatment of peri-prosthetic femur fractures with dedicated NCB plates: our experience

Giam Paolo Molinari  1 , Graziella Giaffreda  2 , Daniele Clementi  2 , Giuseppe Cabbanè  2 , Valter Galmarini  2 , Roberto Maria Capelli  2
Affiliations

Surgical treatment of peri-prosthetic femur fractures with dedicated NCB plates: our experience

Giam Paolo Molinari et al. Acta Biomed. .

Abstract

Background and aim of the work: The incidence of periprostethic femur fractures has increased over the last years; the treatment includes an open reduction and internal fixation or revision implant. The treatment of these fractures can be complex, expensive and associated with risks of systemic and local complications.

Methods: We evaluated clinical and radiological results in patients treated in our department for periprosthetic femoral fractures from 2011 to 2017. We included 52 cases of periprosthetic fractures regardless of their classification with a mean follow-up of 2 years. The analisys of the result was performed using Harris Hip Score and searching for radiographic signs of loosening, infections or mechanical failure of the implants.

Results: There was no evidence of septic complications or mechanical failure in cases treated. The average HHS was equal to 92 points with a certificate pain relief and a sufficient independence in daily living activities.

Conclusions: The treatment of periprosthetic fractures is complex: it depends on type of fracture, on stability of the stem and on the bone quality. A right classification of the fractures, a good experience of the surgeon in prosthetic and trauma surgery is the basis for the best treatment.

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Conflict of interest statement

Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article

Figures

Figure 1.
Figure 1.
Classification Vancuver
Figure 2.
Figure 2.
Plates
Figure 3.
Figure 3.
Cable button
Figure 4.
Figure 4.
Cable-ready
Figure 5.
Figure 5.
Type B: over 60% periprostehetic fractures
Figure 6.
Figure 6.
Men, 93 y., ASA 4. a) fracture type B2; b) post-operatory X-ray: NCB plate without reimplantation
Figure 7.
Figure 7.
Woman, 90 y., ASA 3. a) fracture type B2; b) post-operatory X-ray: NCB plate without reimplantation
See this image and copyright information in PMC

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