Peri-implant fractures - new chalenge. Short review and case history

Česká verzia

Authors: Kristián Chrz; Martin Sedlář; Josef Kraus
Authors place of work: 1. surgical department of General University Hospital in Prague ; 1. chirurgická klinika VFN a 1LF UK
Published in the journal: Úraz chir. 23., 2015, č.3

Summary

Objective:
The goal of this retrospective study is to discuss a relatively new group of fractures, which appeared in relation to progress and results of modern musculoskeletal traumatology, and to contribute to their ma-nagement based on the literature and our own expe-riences.

Materials and method:
The authors summarize the results of rare literary references about this fracture type and present their own experience. There were 26 patients with peri-implant fractures treated at a Ge-neral university hospital in Prague between 2009 and 2014. All patients were treated surgically. They demonstrate in 5 cases-reports some treatment possibilities.

Results:
In accordance with the literature, the surgical treatment option has been chosen in all patients. The following techniques were used: bridging poly-axial plate; implant removal and fracture stabilization with an appropriate nail; nailing through the original endo-prosthesis, removal of the original implant and replacement with a longer variant.

As complications we noted: 2x superficial infection,x malposition (1x) and 1x deep venous thrombosis with successive pulmonary embolization. Other complication described in literature (deep wound infection or non-union) did not appear in our series.

Conclusion:
Peri-implant and peri-prosthetic fractures are a relatively new problems in traumatology. Treatment of this fracture type frequently requires new procedures and the use of sophisticated implants on high technological level.

Key words:
Peri-implant fractures, periprosthetic fractures, operative treatment, new implants.

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