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The Archives of Bone and Joint Surgery، جلد ۱۲، شماره ۴، صفحات ۲۵۶-۲۶۳
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عنوان انگلیسی Locking Attachment Plate for the Surgical Treatment of Periprosthetic and Periimplant Fractures: Long-Term Follow-Up
چکیده انگلیسی مقاله Objectives: The surgical management of periprosthetic fractures (PPF) and periimplant fractures (PIF) can be challenging. The locking attachment plate (LAP) was proposed in recent years for the osteosynthesis of such fractures. The aim of this study was to assess the experience of a third -level hospital with LAP for the treatment of PPF and PIF, and analyse the clinical outcomes.Methods: Data were prospectively collected and analysed from all patients whose PPF/PIF was treated surgically with LAP in a third-level hospital from June 2018 to June 2022. All fractures were postoperative low-energy femur fractures. The minimum follow-up period was six months.Results: Thirty-eight patients (31 women) met the eligibility criteria. The mean age was 86.3 years. The median time until surgery was 4 days. A mean of 3.61 screws were used for each LAP. The mean femur plate length was 14 holes, and the mean working length 7.1 holes. The median hospital stay was nine days. The mean follow-up was 19.56 months. At one month, 12 patients tolerated partial weight-bearing. Five patients walked independently indoors. One patient had died and seven patients were readmitted. At six months, six more patients had died. Fifteen patients tolerated full weight-bearing (FWB). Nine patients walked independently indoors, six outdoors. Twenty-five patients reached fracture consolidation without malalignment. Nine patients were readmitted. At 12 months, another patient had died. Seventeen patients tolerated FWB. Eleven patients walked independently indoors, six outdoors. Twenty-five patients achieved fracture consolidation without malalignment. Five patients were readmitted. Fourteen patients crossed the two-year postoperative threshold. All achieved fracture consolidation. Two patients passed the 4-year postoperative milestone.Conclusion: The clinical results of patients whose PPF or PIF was treated with the LAP are promising. This fixation method is a viable option to be considered when planning surgery for such fractures. Level of evidence: III
کلیدواژه‌های انگلیسی مقاله locking attachment plate, Open reduction and internal fixation, Osteosynthesis, periimplant fracture, Periprosthetic fracture, Results
نویسندگان مقاله | Riccardo Raganato
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain


| Sarah Mills
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain


| Patricia Crespo-Lastras
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain


| Natalia Gonzalez-Ruiz
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain


| Israel Rubio-Saez
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain


| Javier Pallares-Sanmartin
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain


| José Manuel Martinez-Díez
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain


| Aitor Ibarzabal-Gil
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain


| Juan Rubio-Suarez
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain


| E. Carlos RODRIGUEZ-MERCHAN
Department of Orthopedic Surgery, La Paz University Hospital, Madrid, Spain
نشانی اینترنتی https://abjs.mums.ac.ir/article_23986.html
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