A Case Study of Periprosthetic Femur Fracture and Internal Fixation
Article Information
Ariful Haque1, Ganxuewen2, Tong Wu1, Zhang Long1, Xiong Ying3*
1Department of Orthopedic Surgery, Yan an Hospital Affiliated to Kunming Medical University, Yunnan, China
2Secretary of the Orthopedic surgery Department. Yan'an Hospital affiliated to Kunming Medical University, Kunming,Yunnan,China
3Head of the Orthopedic Surgery Department, Yan an Hospital Affiliated to Kunming Medical University, Yunnan, China
*Corresponding Author: Xiong Ying, Head of the Orthopedic Surgery Department, Yan an Hospital Affiliated to Kunming Medical University, Kunming, Yunnan, China
Received: 27 May 2020; Accepted: 16 June 2020; Published: 13 July 2020
Citation: Ariful Haque, Ganxuewen, Tong Wu, Zhang Long, Xiong Ying. A Case Study of Periprosthetic Femur Fracture and Internal Fixation. Archives of Clinical and Medical Case Reports 4 (2020): 677-681.
Share at FacebookAbstract
Periprosthetic fractures are considered fractures which are associated with an orthopaedic implant. The World wide incidence of Periprosthtic fractures are increasing due to increased number of primary joint arthoplasties and other revision surgeries. Periprosthetic femoral fracture can be classified as intraoperative & post-operative fracture. The intraoperative periprosthetic fractures usually occur during the insertion of the femoral stem, often preceded by an area of increased cortical thickness, But acetabular involvement is uncommon.
Keywords
Periprosthetic facture; Proximal end of fracture; Right hip joint; Plate screw X-ray
Periprosthetic facture articles, Proximal end of fracture articles, Right hip joint articles, Plate screw X-ray articles
Periprosthetic facture articles Periprosthetic facture Research articles Periprosthetic facture review articles Periprosthetic facture PubMed articles Periprosthetic facture PubMed Central articles Periprosthetic facture 2023 articles Periprosthetic facture 2024 articles Periprosthetic facture Scopus articles Periprosthetic facture impact factor journals Periprosthetic facture Scopus journals Periprosthetic facture PubMed journals Periprosthetic facture medical journals Periprosthetic facture free journals Periprosthetic facture best journals Periprosthetic facture top journals Periprosthetic facture free medical journals Periprosthetic facture famous journals Periprosthetic facture Google Scholar indexed journals Proximal end of fracture articles Proximal end of fracture Research articles Proximal end of fracture review articles Proximal end of fracture PubMed articles Proximal end of fracture PubMed Central articles Proximal end of fracture 2023 articles Proximal end of fracture 2024 articles Proximal end of fracture Scopus articles Proximal end of fracture impact factor journals Proximal end of fracture Scopus journals Proximal end of fracture PubMed journals Proximal end of fracture medical journals Proximal end of fracture free journals Proximal end of fracture best journals Proximal end of fracture top journals Proximal end of fracture free medical journals Proximal end of fracture famous journals Proximal end of fracture Google Scholar indexed journals tumor articles tumor Research articles tumor review articles tumor PubMed articles tumor PubMed Central articles tumor 2023 articles tumor 2024 articles tumor Scopus articles tumor impact factor journals tumor Scopus journals tumor PubMed journals tumor medical journals tumor free journals tumor best journals tumor top journals tumor free medical journals tumor famous journals tumor Google Scholar indexed journals fracture articles fracture Research articles fracture review articles fracture PubMed articles fracture PubMed Central articles fracture 2023 articles fracture 2024 articles fracture Scopus articles fracture impact factor journals fracture Scopus journals fracture PubMed journals fracture medical journals fracture free journals fracture best journals fracture top journals fracture free medical journals fracture famous journals fracture Google Scholar indexed journals Right hip joint articles Right hip joint Research articles Right hip joint review articles Right hip joint PubMed articles Right hip joint PubMed Central articles Right hip joint 2023 articles Right hip joint 2024 articles Right hip joint Scopus articles Right hip joint impact factor journals Right hip joint Scopus journals Right hip joint PubMed journals Right hip joint medical journals Right hip joint free journals Right hip joint best journals Right hip joint top journals Right hip joint free medical journals Right hip joint famous journals Right hip joint Google Scholar indexed journals treatment articles treatment Research articles treatment review articles treatment PubMed articles treatment PubMed Central articles treatment 2023 articles treatment 2024 articles treatment Scopus articles treatment impact factor journals treatment Scopus journals treatment PubMed journals treatment medical journals treatment free journals treatment best journals treatment top journals treatment free medical journals treatment famous journals treatment Google Scholar indexed journals CT articles CT Research articles CT review articles CT PubMed articles CT PubMed Central articles CT 2023 articles CT 2024 articles CT Scopus articles CT impact factor journals CT Scopus journals CT PubMed journals CT medical journals CT free journals CT best journals CT top journals CT free medical journals CT famous journals CT Google Scholar indexed journals surgery articles surgery Research articles surgery review articles surgery PubMed articles surgery PubMed Central articles surgery 2023 articles surgery 2024 articles surgery Scopus articles surgery impact factor journals surgery Scopus journals surgery PubMed journals surgery medical journals surgery free journals surgery best journals surgery top journals surgery free medical journals surgery famous journals surgery Google Scholar indexed journals Pathogenesis articles Pathogenesis Research articles Pathogenesis review articles Pathogenesis PubMed articles Pathogenesis PubMed Central articles Pathogenesis 2023 articles Pathogenesis 2024 articles Pathogenesis Scopus articles Pathogenesis impact factor journals Pathogenesis Scopus journals Pathogenesis PubMed journals Pathogenesis medical journals Pathogenesis free journals Pathogenesis best journals Pathogenesis top journals Pathogenesis free medical journals Pathogenesis famous journals Pathogenesis Google Scholar indexed journals Plate screw X-ray articles Plate screw X-ray Research articles Plate screw X-ray review articles Plate screw X-ray PubMed articles Plate screw X-ray PubMed Central articles Plate screw X-ray 2023 articles Plate screw X-ray 2024 articles Plate screw X-ray Scopus articles Plate screw X-ray impact factor journals Plate screw X-ray Scopus journals Plate screw X-ray PubMed journals Plate screw X-ray medical journals Plate screw X-ray free journals Plate screw X-ray best journals Plate screw X-ray top journals Plate screw X-ray free medical journals Plate screw X-ray famous journals Plate screw X-ray Google Scholar indexed journals
Article Details
1. Epidemiology
Periprosthetic fractures have been estimated to range from 0.1% to 3.2% for primary uncemented total hip arthoplasties & from 3% to 12% for division surgeries irrespective of cemented or not. Depending on fixation method variation, the incidence of intra-operative fracture has been reported.
2. Causes
Periprosthetic femur fracture is most often occurs due to fall. It can also be caused by a higher energy force (such as- motor vehicle collision). Also in patients with muscle weakness, osteoporosis fracture may occur.
3. Case Study
Li Zhuxian, 78 years old, Chinese woman, got admitted in the hospital with Complain of pain, swelling and restricted movement in the right lower limb for about 8 hours. The patient stated that she fall down from the bed carelessly in the morning, after that she was suffering from the pain, swelling, restricted movement also Dark coloration of skin on the affected site. Then she got admitted to orthopedic hospital. A plain X-ray of right hip & knee joint was done. X-ray film shows a Periprosthetic fracture on the proximal part of right hip bone and a fracture in the distal part of the right hip bone. The swelling of the middle part of right greater brittleness was obvious which can touch the obvious sense of bone friction. The percussion pain and tenderness of the right knee joint were positive. Right knee joint movement was limited, movement of the ankle & toes were good. Physical examination showed, shortening of right lower limb & the limb was internally rotated, swelling in the middle part of right thigh, the obvious sense of bone friction can be felt. Percussion tenderness positive on right knee joint & obvious sense of bone loss and right knee joint movement was limited. All the peripheral pulses of lower limb were intact, motor and sensory activities were good.
Figure 1: Plain X-ray of right hip joint showing fracture of proximal end of femur.
Figure 2: Plain X-ray of right hip joint showing fracture of proximal end of femur.
Figure 3: Preoperative period of screw setting.
Figure 4: After repair the plate screw X-ray.
4. Conclusion
Most cases of periprosthetic hip fracture require surgery. Treatment outcome depend upon-amount of force involved in the injury also upon the quality &strength of the bone around the implant. Although treatment of periprosthetic femur fracture is often challenging as patients are usually older & may have other medical conditions.
Ethics
The patient kindly improved her informed consent at the time of hospital admission to the publication of personal data.
Conflicts of Interest
No potential conflict of interest relevant to this article was reported. The authors do not declare any conflict of interest.
Contribution of Authors
All authors contributed equally and have read and approved the final version of the manuscript.
References
- Wang DX, Xiong Y, Deng H, et al. Biomechanical analysis and clinical effects of bridge combined fixation system for femoral fractures.[J].Proc Inst Mech Eng H 228 (2014): 899-907.