ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2020
Inter-implant fractures: an unmet medical need-a preventive approach proposal.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Should We Worry About the Inter-Implant Gap in the Tibia? A Finite Element Analysis of Revision TKA and Distal Plating.Medicina (Kaunas, Lithuania) · 2026Article
- Peri-implant and subsequent proximal femur fractures above distally based supracondylar femoral fixation constructs.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Interimplant femoral fracture: analysis of risk factors.Musculoskeletal surgery · 2024Article
- Consensus review on peri-implant femur fracture treatment: Peri-Implant Spanish Consensus (PISCO) investigators' recommendations.EFORT open reviews · 2024Review
- The inverted Vancouver C fracture. Case series of unstable proximal femur fractures above a knee revision stem treated by short cephalomedullary nail and lateral submuscular overlapping plate.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021Article
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Authors and funding
5 authors.
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Abstract
Inter-implant fractures are associated with reduced quality of life and increased 1-year mortality. For that reason, we propose, instead of treating, a novel, preventative surgical approach that involves splinting the inter-implant femoral shaft interval. In patients with a previous femoral implant in whom a second surgery for new material implantation was necessary (including knee or hip arthroplasty, plate or femoral nailing), an overlapping technique using the minimally invasive plate osteosynthesis technique was performed during the second surgery. Nine patients were included, all females with median (range) age of 78 (55-88) years. No surgery-related complications or mortality occurred. Two patients suffered fractures from a casual fall postoperatively with no implant failure or hospital admission required. In conclusion, instead of treating such fractures after they occur, we propose an effective, safe and reproducible preventative surgical approach, not previously reported, which involves internal femoral splinting, a plate and the minimally invasive plate osteosynthesis technique.
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