Revision of a blade cut-out in PFN-A fixation: Blade exchange, cement augmentation and a cement plug as a successful salvage option.

Hanke, M.S.; Beckmann, N.A.; Keel, M.J.B.; Siebenrock, K.A.; Bastian, J.D. (2020). Revision of a blade cut-out in PFN-A fixation: Blade exchange, cement augmentation and a cement plug as a successful salvage option. Trauma case reports, 27(100303), p. 100303. Elsevier 10.1016/j.tcr.2020.100303

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A potential and feared complication of proximal femur nails with cephalomedullary fixation is migration of the cephalomedullary screw or blade (cut-out or cut-through). In patients not suitable (e.g. low demand, comorbidities) for conversion to total hip arthroplasty blade exchange with cement augmentation may be an option. This article describes the first successful clinical use of a salvage procedure of a previously published technique, which allows the surgeon to avoid intraarticular cement leakage by using a standard cement plug to close the defect in the femoral head.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery

UniBE Contributor:

Hanke, Markus; Beckmann, Nicholas Andreas; Keel, Marius; Siebenrock, Klaus-Arno and Bastian, Johannes Dominik

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2352-6440

Publisher:

Elsevier

Language:

English

Submitter:

Kathrin Aeschlimann

Date Deposited:

30 Dec 2020 10:20

Last Modified:

03 Jan 2021 02:52

Publisher DOI:

10.1016/j.tcr.2020.100303

PubMed ID:

32322652

Uncontrolled Keywords:

Cephalomedullary nail Hip Intertrochanteric fracture PFNA failure Revision Salvage

BORIS DOI:

10.48350/149028

URI:

https://boris.unibe.ch/id/eprint/149028

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