Periprosthetic Fracture after Locked Plating in the Osteoporotic Long Bone Fracture

Ki-Chul Park; Hong-Sik Kim; Jeong-Han Oh

doi:10.4055/jkoa.2012.47.3.222

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

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

Case Report

Journal of the Korean Orthopaedic Association

Journal of the Korean Orthopaedic Association 2012; 47(3): 222-226.

Published online: 26 June 2012

DOI: https://doi.org/10.4055/jkoa.2012.47.3.222

Periprosthetic Fracture after Locked Plating in the Osteoporotic Long Bone Fracture

Ki-Chul Park, M.D., Hong-Sik Kim, M.D., Jeong-Han Oh, M.D.

Department of Orthopedic Surgery, Guri Hospital, Hanyang University College of Medicine, Guri, Korea.

Correspondence to: Ki-Chul Park, M.D. Department of Orthopedic Surgery, Guri Hospital, Hanyang University College of Medicine, 249-1, Gyomun-dong, Guri 471-701, Korea. TEL: +82-31-560-2317, FAX: +82-31-557-8781, kcpark@hanyang.ac.kr

Received 5 July 2011 Revised 10 November 2011 Accepted 5 December 2011

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: periprosthetic fractures, locked plating

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.

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.

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.

References

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