Evidence map›Paper›PMID 40641829›Full record

ArticleArthroplasty today2025

Failure of the Noncontact Bridging Periprosthetic Plating System: A Single-Institution Experience.

Michael R Mercier, James M Broderick, Catherine S Hibberd, Shane P Russell, Mansur M Halai, Amit Atrey, Aaron Nauth, Amir Khoshbin

Abstract read
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In one paragraph

Article in Arthroplasty today, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Michael R MercierDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
James M BroderickDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Catherine S HibberdDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Shane P RussellDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Mansur M HalaiDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Amit AtreyDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Aaron NauthDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Amir KhoshbinDivision of Orthopaedic Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Periprosthetic femur fractures (PFFs) are challenging complications following total joint arthroplasty. Locking compression plates have emerged as a preferred option because of their stability and ability to be placed in a minimally invasive fashion. Surgical techniques for their application have been well-described; however, there are limited reports of failure. Here, we present 6 unique cases of implant failure using the Noncontact Bridging (NCB) Periprosthetic Plating System in the management of PFF. Methods: A retrospective chart review was conducted of all open reduction internal fixation procedures using the NCB plating system for PFF performed at a single tertiary academic trauma center from 2015 to 2022. Instances of postoperative implant failure were selected for review. Surgical information regarding their index PPF and subsequent open reduction internal fixations were collected. Results: Of the 44 instances the NCB plating system was used, 6 (13.6%) cases of implant failure were identified. Four out of 6 cases occurred within 4 months of fixation. Five of the failures were due to plate fracture and 1 by plastic deformation. Failure of the plate was noted at the tip of the prosthesis in 5 out of 6 cases. Stress concentration was minimized by avoiding the use of 3 consecutive screw plate holes in all cases. Conclusions: Here we present the largest case series to date of NCB plating system failure. These cases highlight the need for further surveillance of plate failure in the management of PFF, as well as ways in which system design could be improved. Level of Evidence: IV.

Indexed as

Open reduction internal fixationPeriprosthetic fracturePeriprosthetic platingRevision arthroplastyTotal joint arthroplasty

Identifiers

PMID40641829
PMCPMC12241400

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.