Dot wire contact plate fixation combined with improved treatment of femoral periprosthetic fractures.docVIP

 PAGE \* MERGEFORMAT 7 Dot wire contact plate fixation combined with improved treatment of femoral periprosthetic fractures Of: Chuan-Bo Chen, Xu Xiangwei, Zhang Bing, Yusheng Wen [Abstract] of 7 cases were dotted with improved wire contact plate fixation of periprosthetic femoral fractures were retrospectively analyzed clinical data of patients with fractures were Vancouver .7 type of B1-type fractures were recovered well that the use of point-like contact with steel plate and improved treatment of these fractures and internal fixation is a better treatment. [Keywords:] femoral fractures; femoral prosthesis; wire; fixation Periprosthetic femoral fractures after total hip replacement is one of serious complications reported in the literature the incidence rate of 0.9% ~ 2.1% [1]. We use point-like contact with plate and wire fixation for improved treatment of such fractures in 7 cases, efficacy satisfaction, the report is as follows. Clinical data 1 General Information 7 cases as Vancouver type B1 type of hip arthroplasty femoral fractures. Including 4 males and 3 females; average age of 56 years (43 to 75 years). The fracture site: the left side in 5 cases, the right side in 2 cases. fractures occurred after 2 months to 2 years. fracture line is transverse, short oblique or spiral fracture around the prosthesis occurred in less than 2cm. 2 treatments continuous epidural anesthesia, the patient supine. Incision using the lateral limbs to fracture as the center, along the gap into the vastus lateralis muscle. Profiler femoral prosthesis to determine the femoral prosthesis without loosening, femoral canal clean-up and the fracture will fracture reduction. Select 8 to 10 contacts hole point-like home plate fracture (fracture of the proximal 5 to 6 holes), three-jaw holder temporarily fixed. in the proximal plate screw holes corresponding contralateral cortical bone, under the guidance of the drill guide device of the Kirschner wire with a 1.5m