Treatment of Periprosthetic Femoral Fractures with the Bicontact Revision Stem
C. Eingartner, U. Ochs, D. Egetemeyer, R. Volkmann · Zeitschrift für Orthopädie und Unfallchirurgie · 2007 · Heft S 1 · S. S29-S33
Bibliografische Angaben
Zusammenfassung
Abstract PURPOSE: Periprosthetic fractures in cases without prior loosening of the stem can be treated with open reduction and internal fixation, but cases with preexisting loosening and/or bone defects present specific challenges to the surgeon. The keys to the success of intramedullary stabilization of femoral fractures - reconstruction of length, axis and rotation rather than meticulous reduction of the fragments and minimal impact on fragment vascularization by the surgical approach - can be transferred to the treatment of periprosthetic fractures. METHOD: The Bicontact revision stem can be regarded as a com…