ArticleChinese journal of traumatology = Zhonghua chuang shang za zhi2023
Peri-implant femoral fractures: Challenges, outcomes, and proposal of a treatment algorithm.
Article in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Peri-implant femoral fractures around intramedullary nails: current management strategies and outcomes-a narrative review.Journal of orthopaedic surgery and research · 2025Pooled it
- Peri-periprosthetic femoral fractures: a single-centre case series of a rare and challenging clinical scenario.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Biomechanical Study of the Preventive Effect of Different Cephalomedullary Fixation Methods on the Occurrence of Femoral Neck Fractures in Osteoporotic Femurs.Medicina (Kaunas, Lithuania) · 2026Article
- Minimally invasive fixation of a peri-implant femoral neck fracture without nail removal: A case report.Trauma case reports · 2025Article
- Peri-implant femoral fractures in elderly: Morbidity, mortality, treatment options and good practices.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- Article
- Risk factors for one-year mortality in 440 femoral peri-implant fractures: insights from the PIPPAS prospective, multicentre, observational study.Bone & joint open · 2025Article
- Assessing potential factors leading to perioperative peri-implant fracture in femoral pertrochanteric fracture osteosynthesis using the proximal femoral nail antirotation 2: A retrospective study.BMC musculoskeletal disorders · 2024Article
- Psychological impact of peri-implant fractures: A cross-sectional study.La Tunisie medicale · 2024Article
- Peri-implant fractures after Intramedullary fixation for femoral trochanteric fracture: a multicenter (TRON Group) study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Therapy aspects of peri-implant femoral fractures-a retrospective analysis of 64 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Consensus review on peri-implant femur fracture treatment: Peri-Implant Spanish Consensus (PISCO) investigators' recommendations.EFORT open reviews · 2024Review
- Is nail-plate docking worth the effort? A biomechanical analysis of docking a plate and a nail in peri-implant femur fractures.Frontiers in bioengineering and biotechnology · 2024Article
- A Retrospective analysis of peri-implant fractures: insights from a large volume clinical Study.International orthopaedics · 2023Article
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Authors and funding
7 authors at 3 institutions in 2 countries.
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No grant is acknowledged in the PubMed record.
Abstract
purposeNon-prosthetic peri-implant fractures are challenging injuries. Multiple factors must be carefully evaluated for an adequate therapeutic strategy, such as the state of bone healing, the type of implant, the time and performed personnel of previous surgery, and the stability of fixation. The aim of this study is to propose a rationale for the treatment.
methodsThe peri-implant femoral fractures (PIFFs) system, a therapeutic algorithm was developed for the management of all patients presenting a subtype A PIFF, based on the type of the original implant (extra- vs. intra-medullary), implant length and fracture location. The adequacy and reliability of the proposed algorithm and the fracture healing process were assessed at the last clinical follow-up using the Parker mobility score and radiological assessment, respectively. In addition, all complications were noticed. Continuous variables were expressed as mean and standard deviation, or median and range according to their distribution. Categorical variables were expressed as frequency and percentages.
resultsThis is a retrospective case series of 33 PIFFs, and the mean post-operative Parker mobility score was (5.60 ± 2.54) points. Five patients (15.1%) achieved complete mobility without aids (9 points) and 1 (3.0%) patient was not able to walk. Two other patients (6.1%) were non-ambulatory prior to PPIF. The mean follow-up was (21.51 ± 9.12) months (range 6 - 48 months). There were 7 (21.2%) complications equally distributed between patients managed either with nailing or plating. There were no cases of nonunion or mechanical failure of the original implant.
conclusionThe proposed treatment algorithm shows adequate, reliable and straightforward to assist the orthopaedic trauma surgeon on the difficult decision-making process regarding the management of PIFF occurring in previously healed fractures. In addition, it may become a useful tool to optimize the use of the classification, thus potentially improving the outcomes and minimizing complications.
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