Journal List > J Korean Orthop Assoc > v.47(3) > 1013154

Park, Kim, and Oh: Periprosthetic Fracture after Locked Plating in the Osteoporotic Long Bone Fracture

Abstract

The locking plate is used for osteoporotic long bone fracture because of the ability to affect a lock between the plate and locking screws that prevents reduction loss, angular deformity and axial deformity. However, it has been reported that locked plating can increase the periprosthetic fracture risk in osteoporotic bone compared with conventional plating. We report 3 cases of periprosthetic fracture after the use of locked plating in osteoporotic long bone fracture and a review of the relevant literatures.

Figures and Tables

Figure 1
(A) The radiograph of a 83-year-old female's humerus showed fracture of the shaft. (B) The post-operative anteroposterior and lateral radiographs showed acceptable reduction with locked plating. (C) The follow-up radiograph 11 weeks after operation showed callus formation around the fracture site. (D) The follow-up radiograph 12 months after operation showed periprosthetic fracture around the most proximal locking screw.
jkoa-47-222-g001
Figure 2
(A) The radiograph of a 68 year-old female showed nonunion of the femur subtrochanteric fracture. (B) The post-operative anteroposterior and lateral radiographs showed acceptable reduction with locked plating and bone grafting. (C) The follow-up radiograph 12 months after 2nd operation showed periprosthetic fracture around the most distal locking screw.
jkoa-47-222-g002
Figure 3
(A) The radiograph of a 73-year-old female showed a fracture of the femur shaft. (B) The post-operative radiographs showed acceptable reduction with locked plating. (C) The follow-up anteroposterior and lateral radiographs 16 weeks after operation showed callus formation around the fracture site. (D) The follow-up radiograph 5 months after the operation showed a periprosthetic fracture around the most proximal locking screw.
jkoa-47-222-g003

References

1. Frigg R. Development of the locking compression plate. Injury. 2003. 34:Suppl 2. B6–B10.
crossref
2. Sommer C, Gautier E, Müller M, Helfet DL, Wagner M. First clinical results of the locking compression plate (LCP). Injury. 2003. 34:Suppl 2. B43–B54.
crossref
3. Bottlang M, Doornink J, Byrd GD, Fitzpatrick DC, Madey SM. A nonlocking end screw can decrease fracture risk caused by locked plating in the osteoporotic diaphysis. J Bone Joint Surg Am. 2009. 91:620–627.
crossref
4. Fulkerson E, Egol KA, Kubiak EN, Liporace F, Kummer FJ, Koval KJ. Fixation of diaphyseal fractures with a segmental defect: a biomechanical comparison of locked and conventional plating techniques. J Trauma. 2006. 60:830–835.
crossref
5. Haidukewych GJ. Innovations in locking plate technology. J Am Acad Orthop Surg. 2004. 12:205–212.
crossref
6. Sim JC, Chung NS, Hong KD, Ha SS, Kang JH. Treatment of fractures of the distal radius using locking compression plate. J Korean Fract Soc. 2005. 18:100–104.
crossref
7. Davenport SR, Lindsey RW, Leggon R, Miclau T, Panjabi M. Dynamic compression plate fixation: a biomechanical comparison of unicortical vs bicortical distal screw fixation. J Orthop Trauma. 1988. 2:146–150.
crossref
TOOLS
Similar articles