Combining a hip arthroplasty stem with trochanteric reattachment bolt and a polyaxial locking plate in the treatment of a periprosthetic fracture below.

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Presentation transcript:

Combining a hip arthroplasty stem with trochanteric reattachment bolt and a polyaxial locking plate in the treatment of a periprosthetic fracture below a well-integrated implant Urban Hedlundh, Lars Karlsson Arthroplasty Today Volume 2, Issue 4, Pages 141-145 (December 2016) DOI: 10.1016/j.artd.2016.02.002 Copyright © 2016 The Authors Terms and Conditions

Figure 1 (a) Anteroposterior radiograph of the left proximal femur after failure of a dynamic hip screw and (b) subsequent AO 95° condylar blade plate fixation of a pertrochanteric fracture. Arthroplasty Today 2016 2, 141-145DOI: (10.1016/j.artd.2016.02.002) Copyright © 2016 The Authors Terms and Conditions

Figure 2 (a) Anteroposterior radiograph of the left proximal femur after removal of the plate and conversion to total hip arthroplasty with an Arcos modular STS stem, claw plate with trochanteric reattachment bolt, and a Lubinus/Link cemented acetabulum cup articulating against a 32-mm Cr-Co-Mo head. (b) Photograph of a proximal Arcos hip prosthesis with claw plate and trochanteric reattachment bolt. Arthroplasty Today 2016 2, 141-145DOI: (10.1016/j.artd.2016.02.002) Copyright © 2016 The Authors Terms and Conditions

Figure 3 Anteroposterior radiograph of the left femur (a) proximally and (b) distally. A periprosthetic fracture classified as Vancouver type B1 is noted. The trochanteric osteotomy appears healed. Arthroplasty Today 2016 2, 141-145DOI: (10.1016/j.artd.2016.02.002) Copyright © 2016 The Authors Terms and Conditions

Figure 4 (a) Photograph of lateral view of a proximal Arcos hip prosthesis with reattachment bolt and (b) Zimmer noncontact bridging plate with arrow indicating the hole that was enlarged in the plate. Arthroplasty Today 2016 2, 141-145DOI: (10.1016/j.artd.2016.02.002) Copyright © 2016 The Authors Terms and Conditions

Figure 5 Anteroposterior radiograph of the left femur (a) proximally and (b) distally and (c) lateral radiograph. The fracture appears healed. Arthroplasty Today 2016 2, 141-145DOI: (10.1016/j.artd.2016.02.002) Copyright © 2016 The Authors Terms and Conditions