Hanke, Markus Simon; Beckmann, Nicholas Andreas; Keel, Marius Johann Baptist; Siebenrock, Klaus Arno; Bastian, Johannes Dominik (2021). Application of the reversed LISS-DF technique in an elderly patient to salvage infection-related failure of trochanteric fracture fixation. Trauma case reports, 32(100419), p. 100419. Elsevier 10.1016/j.tcr.2021.100419
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Failure of cephalomedullary fixation in geriatric trochanteric fractures is a potential complication. Attempts have been made to optimize the implant fixation (e. g. cement augmentation) and several factors (e. g. malreduction, tip apex distance) have been identified as risk factors for failure. Nevertheless, if intramedullary fixation fails, it is often associated with bone defects in mostly preexisting poor bone-stock. Accordingly, conversion to total hip arthroplasty (THA) is recommended by some authors as the only valid treatment option. However, in specific situations (e. g. implant associated infection) conversion to THA might be less reasonable than an attempt to re-osteosynthesis. This article reports on the successful use of a reversed contralateral LISS-DF (LISS for the distal femur, DePuy Synthes, Zuchwil, Switzerland) application after failed cephalomedullary fixation and failed re-osteosynthesis using a blade plate in a trochanteric fracture in an elderly patient with additional implant associated infection.
Item Type: |
Journal Article (Further Contribution) |
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Division/Institute: |
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery |
UniBE Contributor: |
Hanke, Markus (B), Beckmann, Nicholas Andreas, Keel, Marius, Siebenrock, Klaus-Arno, Bastian, Johannes Dominik |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2352-6440 |
Publisher: |
Elsevier |
Language: |
English |
Submitter: |
Kathrin Aeschlimann |
Date Deposited: |
10 Nov 2021 11:56 |
Last Modified: |
29 Mar 2023 23:37 |
Publisher DOI: |
10.1016/j.tcr.2021.100419 |
PubMed ID: |
33665313 |
Uncontrolled Keywords: |
Blade plate Cephalomedullary nail Infection Reversed LISS-DF Trochanteric fracture |
BORIS DOI: |
10.48350/160122 |
URI: |
https://boris.unibe.ch/id/eprint/160122 |
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