Overlapping intramedullary nailing after failed minimally invasive locked plating for osteoporotic distal femur fractures--Report of 2 cases

Injury. 2015;46(6):1174-7. doi: 10.1016/j.injury.2015.01.011. Epub 2015 Jan 16.

Abstract

Minimally invasive plate osteosynthesis (MIPO) using a locking plate has been widely used for distal femur fractures in the elderly with osteoporosis and yielded favourable results. However, implant failure and subsequent periplate fracture have still occurred owing to the controversy of concepts regarding locked plating. The treatment after failed MIPO in elderly patients is very challenging and has been not yet addressed definitely in the literature, although several options can be considered. We report the successful outcomes of two cases treated with overlapping intramedullary (IM) nailing for implant failure and periplate fracture after MIPO for osteoporotic distal femur fracture, along with simple tips of distal interlocking of IM nail.

Keywords: Distal femur; Failed MIPO; Osteoporotic fracture; Overlapping IM nailing.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Biomechanical Phenomena
  • Bone Nails*
  • Bone Plates*
  • Female
  • Femoral Fractures / diagnostic imaging
  • Femoral Fractures / pathology
  • Femoral Fractures / surgery*
  • Fracture Fixation, Intramedullary* / methods
  • Fracture Healing
  • Humans
  • Minimally Invasive Surgical Procedures
  • Osteoporotic Fractures / diagnostic imaging
  • Osteoporotic Fractures / pathology
  • Osteoporotic Fractures / surgery*
  • Radiography
  • Range of Motion, Articular
  • Treatment Outcome