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Current Geriatrics Reports

Erschienen in:

18.09.2018 | Geriatric Orthopedics (E Meinberg, Section Editor)

Minimally Invasive Osteosynthes of Periprosthetic Fractures in the Lower Extremity

verfasst von: Carol A. Lin, Milton T. M. Little, Charles N. Moon

Erschienen in: Current Geriatrics Reports | Ausgabe 4/2018

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Abstract

Purpose of Review

Periprosthetic fractures (PPF) of the lower extremity are increasing as the population ages, as the number of joint replacement increases, and patients remain active. The management of PPFs is challenging because of implant and cement obstruction within the bone, poor bone quality, and limited availability of bone stock for screw purchase. Historically, they have been associated with high rates of nonunion, infection, and fixation failure. Minimally invasive osteosynthesis (MIO) has reduced complications and improved union rates compared to conventional open plating of fractures. This paper reviews the principles of treatment, implant choices, and technical challenges of MIO for PPF in the lower extremity.

Recent Findings

In recent series, PPF for the lower extremity has shown reduced complication rates, improved union, and early mobilization compared prior open treatment.

Summary

MIO for PPF is technically challenging but promising method of treatment for PPF.

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Titel: Minimally Invasive Osteosynthes of Periprosthetic Fractures in the Lower Extremity
verfasst von: Carol A. Lin
Milton T. M. Little
Charles N. Moon
Publikationsdatum: 18.09.2018
Verlag: Springer US
Erschienen in: Current Geriatrics Reports / Ausgabe 4/2018
Elektronische ISSN: 2196-7865
DOI: https://doi.org/10.1007/s13670-018-0259-8

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Abstract

Purpose of Review

Recent Findings

Summary

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