Distal humeral periprosthetic fractures. Medical search. Frequent questions

The cases involve a 42-year-old man and a 62-year-old man with Hoffa coronal fractures of the distal femur, and a 50-year-old man with a proximal tibial fracture. (bvsalud.org)
[ 1 ] Interprosthetic fractures are fractures that occur between two prostheses or implants (usually a femur fracture between a total knee replacement and a total hip replacement. (medscape.com)
Systematic review of the treatment of periprosthetic distal femur fractures. (utosm.com)
Distal Femur Fractures: Where Are We Now? (foreonline.org)
This annotation describes the approaches to the femur that can be used to facilitate the surgical management of peri- and interprosthetic fractures of the femur at all levels using either modern methods of fixation or revision arthroplasty. (boneandjoint.org.uk)
Influence of cerclages on primary stability of tumor megaprostheses subjected to distal femur defects. (biomechanik-giessen.de)

These drugs have been suggested to be associated with atypical femoral fractures (AFFs), and the relationship between BMAs and AFFs has attracted attention. (bvsalud.org)
Implants for periprosthetic femoral fractures are used in combination with proximal femoral plates and straight plates for periprosthetic femoral fractures. (medin.cz)
Implants for periprosthetic femoral fractures consist of 3 types of locking clamps and a locking screw for clamp, which allows attachment of the locking clamp to the plate with a Ø 5 mm locking screw hole. (medin.cz)
Periprosthetic femoral fractures are increasing in incidence, and typically occur in frail elderly patients. (boneandjoint.org.uk)

BACKGROUND Distal femoral and proximal tibial fractures often lead to nonunion and post-traumatic osteoarthritis, and total knee arthroplasty (TKA) has emerged as an effective alternative for older patients. (bvsalud.org)
Broadly, shoulder arthroplasty encompasses surgeries using hemiarthroplasty (humeral prosthesis without replacement of the glenoid), total shoulder arthroplasty (humeral prosthesis with glenoid resurfacing via prosthesis), and reverse total shoulder replacement (humeral cup prosthesis with glenosphere implantation). (medscape.com)
Neer originally designed the humeral head prosthesis for the treatment of fractures about the humeral head, and later went on to describe shoulder arthroplasty in the treatment of glenohumeral arthritis. (medscape.com)
The rationale behind their use subsequently led to application even in revision arthroplasty with great loss of bone stock, as well as in trauma surgery, for extremely comminuted fractures with poorly vascularized fragments, where traditional osteosynthesis cannot be applied. (openorthopaedicsjournal.com)
The unconstrained (unlinked) elbow prosthesis consists of separate humeral and ulnar metal components which articulate through a circular high-density polyethylene component ( figure: unconstrained elbow arthroplasty ). (medapparatus.com)
The use of reverse total shoulder arthroplasty for the management of complex proximal humerus fractures has gained popularity in the last five to ten years. (scielo.org.za)
We present a concise review of conservative and surgical treatment of proximal humerus fractures and a more detailed review of published series of reverse shoulder arthroplasty for fracture treatment. (scielo.org.za)
Surgeries performed by Dr. Lindsay include: general orthopedic fracture care (broken bones in the arms or legs), as well as a variety of spine procedures, including discectomy, laminectomy, spinal fusions, cervical disc arthroplasty, cervical laminoplasty, and fracture stabilization and treatment. (emergeortho.com)
Treatment of Stage III-A-1 and III-B-1 Periprosthetic Knee Infection with Two Stage Exchange Arthroplasty and Articulating Spacer. (hiporthopaedics.gr)
Familial Clustering Identified in Periprosthetic Joint Infection Following Primary Total Joint Arthroplasty: A Population-Based Cohort Study. (utah.edu)
Changes of the bone structure after cap resurfacing arthroplasty of the humeral head. (jerosch.de)

This study analyzes risk factors associated with mechanical failure following plate fixation of humeral shaft fractures in order to further elucidate the mode and location of failure. (researchsquare.com)
Eleven of eighty-five humeral shaft fractures had aseptic mechanical failure requiring revision (12.9%), following initial plate fixation. (researchsquare.com)
Proximal humeral nail and PHILOS plate fixation for the proximal humeral fractures offers good anatomic fracture reduction and stable primary fixation to ensure rapid fracture healing and immediate post-operative functional therapy without prolonged immobilization. (crimsonpublishers.com)
In a recent prospective randomised control trial (PRCT) of 50 patients comparing non-operative management and locked-plate fixation for complex displaced fractures, it was reported that at 12 months the functional scores (American Shoulder and Elbow Score ASES, and Constant Score CS) were similar, and that the only significant difference was better radiographs in the operated group. (scielo.org.za)

Notably, glenoid and humeral component loosening requiring reoperation occurred in only 1 shoulder. (sogacot.org)

Index complications in order of frequency included rotator cuff tearing, postoperative glenohumeral instability, and periprosthetic humeral fracture. (sogacot.org)

Ideal plate and screw fixation construct for open reduction and internal fixation of humeral shaft fractures remains controversial. (researchsquare.com)

Fracture characteristics (AO type, comminution, location) and fracture fixation (plate type, multiplanar, number of screws proximal and distal to the fracture) were compared between aseptic mechanical failure and those without failure. (researchsquare.com)
The current dogma of humeral shaft fracture stabilization is to use a minimum of 3 screws proximal and distal to the fracture, however the current study demonstrates this is associated with higher rates of mechanical failure. (researchsquare.com)
Although 6-8 cortices of proximal and distal fixation have been recommended based on expert opinion 1 , there is considerable variation in plating techniques and fixation constructs to match the variability in patient and fracture characteristics. (researchsquare.com)
The involved site was within the middle 1/3 in 8 patients, in the proximal-middle junction in 5, in the middle-distal junction in 2, and within the proximal and distal 1/3 in 1 patient each. (elsevierpure.com)

Posteromedial Tibial Plateau fractures - Fixation with Antiglide Plate Posteromedial approach. (iorg.co.in)
How reliable is classification of tibial plateau fractures? (mcmaster.ca)

More than 300,000 hip fractures occur yearly, and almost all are treated operatively with internal fixation or prosthetic replacement. (medscape.com)
Improvements in cancer treatment also have resulted in longer life spans with increased likelihood of metastatic bone lesions and impending or actual pathologic fractures that require internal fixation. (medscape.com)
Common complications for open reduction internal fixation (ORIF) of humeral shaft fractures include radial nerve injury, infection, and hardware failure 3 . (researchsquare.com)
However, an integral body of evidence was urgent regarding the outcomes of locking plate and intramedullary nail treatment for proximal humeral fractures because of advances in the methods of internal fixation devices. (crimsonpublishers.com)
During a 10-year period, 17 patients with segmentally destructive bone lesions of the humeral diaphysis in disseminated malignancies resulting in impending fracture (8 patients), pathologic fracture (6 patients), or failure of attempted internal fixation techniques (3 patients) were treated with resection of the involved diaphyseal segment and reconstruction with a cemented modular intercalary humeral spacer. (elsevierpure.com)

Operative treatment of humeral shaft fractures (AO/OTA 12) is being performed more frequently. (researchsquare.com)
A retrospective review of 351 humeral shaft fractures was completed at a single level I trauma center. (researchsquare.com)

Outcomes of displaced adolescent distal third tibia fractures: can we do better? (ucdenver.edu)

Diaphyseal humerus fractures (AO/OTA 12) have traditionally been managed nonoperatively with splinting and functional bracing 1 . (researchsquare.com)

This study aims to identify potential risk factors for mechanical failure following humeral shaft ORIF among patients treated at a single, high-volume, level-I trauma center. (researchsquare.com)
The Arbeitsgemeinschaft für Osteosynthesefragen/Orthopedic Trauma Association (AO/OTA) classification together with the Neer classification is one of the most frequently used systems for classifying proximal humeral fractures . (radiopaedia.org)

There is a minimally displaced intra-articular avulsion fracture of the ulnar aspect of the proximal phalanx of the right thumb. (juniorbones.com)

We present the design and manufacturing process of three patient-specific devices to treat complex common situations in orthopaedic surgery, such as intramedular tumor resections, long bone pseudarthrosis and malunions of articular fractures. (easychair.org)

We aimed to validate a series of 33 acetabular fractures with a novel method by detailed analysis of model errors. (easychair.org)

Total Shoulder Replacement compared with humeral head replacement for treatment of primary glenohumeral osteoarthritis: A systematic Review Radnay CS, et al: J Shoulder Elbow Surg. (slideshare.net)

However, to achieve satisfactory functional outcomes, displaced and unstable fractures are treated surgically [3]. (crimsonpublishers.com)
While most simple, minimally or non-displaced fractures can be managed successfully with non-operative means, the more complex three- and four-part displaced fractures remain difficult to treat and have worse outcomes. (scielo.org.za)
In order to evaluate the benefits and risks of the various surgical techniques, it is important first to understand the natural history of non-operatively managed fractures, and to know the outcomes of the different surgical options. (scielo.org.za)
However, there is conflicting evidence regarding the outcomes when used for proximal humerus fractures. (scielo.org.za)
They can be associated with various pathogenic conditions and clinical outcomes, including injuries (fractures), infections (osteomyelitis), tumors, osteoporosis, and many other bone diseases [ 7 ] . (encyclopedia.pub)

Options offered by modern humeral prosthesis include varying sizes of head length and diameter to match patient anatomy and facilitate soft tissue balancing, varying stem lengths, smooth or coated stems, and cemented or cementless humeral component stems. (medscape.com)
The prosthetic humeral and ulnar stems are cemented into place, and the humeral condyles are resected. (medapparatus.com)
Radiographic analysis revealed that the limited selection of stem lengths led to 76% of the distal stems and 47% of the proximal stems being shorter than the ideal length. (elsevierpure.com)

Locked plate technology for fixation of fractures associated with poor bone quality has expanded in recent years. (scielo.org.za)

Broadly, indications for shoulder hemiarthroplasty can be divided into those for acute fractures and those for chronic shoulder disease. (medscape.com)
Acute Fractures? (slideshare.net)

The ability of tumor to "outgrow" a fixation device and the reduced ability of irradiated or tumor-replaced bone to heal fractures also result in an increasing frequency of peri-implant fractures. (medscape.com)
Two periprosthetic fractures occurred, 1 proximally (due to tumor progression) and 1 distally. (elsevierpure.com)

Arthroscopic Debribement and Irrigation of Periprosthetic Total Elbow Infection: A Case Report. (hiporthopaedics.gr)
Open (compound) fracture will usually require debridement to reduce the risk of subsequent infection 1 . (radiopaedia.org)

Fractures around joint replacement prostheses are commonly called periprosthetic fractures, whereas fractures around plates, rods, or prostheses can be more generally termed peri-implant fractures. (medscape.com)
Nonprosthetic peri-implant fractures may be considered to represent a separate entity. (medscape.com)
The techniques for treating peri-implant fractures may be more difficult, with more limited options and more frequent complications than the techniques used in treating fractures without the presence of an implant. (medscape.com)
The aims of treatment are the same, including 'getting it right first time' with a single operation, which allows immediate unrestricted weightbearing, with a low risk of complications, and one that avoids the creation of stress risers locally that may predispose to further peri-implant fracture. (boneandjoint.org.uk)

9. Management of a patient having fracture pelvis with urinary retention. (iorg.co.in)

To assess and compare the fracture union and the functional outcome of proximal humerus fractures using proximal humeral nail and PHILOS plate. (crimsonpublishers.com)
Proximal humerus fractures are becoming increasingly prevalent with rapidly expanding population, accounting for 6% of all fractures in the human body [1]. (crimsonpublishers.com)
This study included the patients with fracture of proximal humerus requiring surgical interventions, after taking their consent, were analyzed clinically and radiologically. (crimsonpublishers.com)
performed a prospective observational study of 76 patients with complex proximal humerus fractures managed non-operatively. (scielo.org.za)

Mayo Clinic and Swedish registry studies found that 94% and 70% of patients with periprosthetic fracture had a loose stem before fracture. (medscape.com)
In the postoperative period, special attention should be given to anterior migration of the proximal end of the humeral prosthetic stem. (medapparatus.com)
Changes of periprosthetic bone density after a cementless short hip stem: a clinical and radiological analysis. (biomechanik-giessen.de)

The rate of osteolysis increases with time, and osteolytic bone defects are stress risers, which predispose the patient to fractures. (medscape.com)
The constrained prosthesis has increased stress at the elbow joint with high rates of osteolysis, loosening, and periprosthetic fractures. (medapparatus.com)

Shoulder hemiarthroplasty is a shoulder replacement in which the broken humeral head is replaced with an artificial joint and the fractured bone is reconstructed around the artificial joint. (medscape.com)

Periprosthetic fractures through pin sites have been reported infrequently, but as the frequency of computer-assisted techniques increases, the incidence of these fractures will likely also increase. (medscape.com)
[ 9 ] Abdel et al reported a 12% incidence of intraoperative fracture in revision total hip replacement. (medscape.com)
In contrast, depressed fractures will often require surgical intervention for cosmesis and reduction in the incidence of post-traumatic epilepsy 1 . (radiopaedia.org)

CONCLUSIONS: Our findings strongly suggest that autologous CD34 + cell transplantation is a novel treatment option for fracture nonunion. (bvsalud.org)
Both the treatment options are effective in treating the proximal fractures and there was no significant difference between functional outcome between the two groups at 1-year follow-up. (crimsonpublishers.com)
Several studies [6,9-15] have focused on locking plate and intramedullary nail for treatment of displaced two-, threeand four-part proximal humeral fractures. (crimsonpublishers.com)
Implications for diagnosis and treatment of peri-spinal implant infections from experiences in periprosthetic joint infections-a literature comparison and review. (hiporthopaedics.gr)
Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)
Skull fractures, if closed and undisplaced, rarely need any direct management, with treatment being aimed at any associated injury (e.g. extradural hematoma). (radiopaedia.org)

2. Marongiu G, Leinardi L, Congia S, Frigau L, Mola F, Capone A. Reliability and Reproducibility of the New AO/OTA 2018 Classification System for Proximal Humeral Fractures: A Comparison of Three Different Classification Systems. (radiopaedia.org)
3. Brorson S, Eckardt H, Audigé L, Rolauffs B, Bahrs C. Translation Between the Neer- and the AO/OTA-Classification for Proximal Humeral Fractures: Do We Need to Be Bilingual to Interpret the Scientific Literature? (radiopaedia.org)
Patients were grouped according to a 3D classification of fracture pattern. (scielo.org.za)

[ 12 ] If malalignment occurs after a periprosthetic fracture, the abnormal joint biomechanics may cause a high rate of revision secondary to loosening. (medscape.com)

Previous biomechanical work on optimal screw configurations, plate type and the use of locking constructs have been studied as a result, but they investigate a very narrow range of fracture patterns and configurations 4 , 5 . (researchsquare.com)
Kalfarentzos EF, Deligianni D, Mitros G, Tyllianakis M. Biomechanical evaluation of plating techniques for fixing mandibular angle fractures: the introduction of a new 3D plate approach. (orthopatras.gr)
Fractures of the skull, as with fractures of any bone, occur when biomechanical stresses exceed the bone's tolerance. (radiopaedia.org)

The management of fractures and soft tissue injuries in all patients is a large portion of his practice. (uchealth.com)
The surgical approach to these fractures, the associated soft-tissue handling, and exposure of the fracture are key elements in minimizing the high rate of complications. (boneandjoint.org.uk)
When a fracture is identified, a careful search for adjacent soft tissue injury should be undertaken. (radiopaedia.org)
Always ensure you look for additional fractures, soft tissue swellings, etc. (juniorbones.com)

[ 3 ] Additionally, the indications for joint replacement have expanded significantly over the past few decades to include much older and younger patients, both of which have a higher risk of periprosthetic fracture. (medscape.com)

Case 2: A 62-year-old man suffered lateral condyle and ligament injuries from a displaced Hoffa's fracture. (bvsalud.org)
The complexity of these injuries is a function of fracture severity (and the associated risk of avascular necrosis), and the difficulty in attaining union of the greater and lesser tuberosities in anatomical position. (scielo.org.za)
Common conditions that he treats include: disc herniations, spinal stenosis, pinched nerves, arthritic conditions of the spine, fractures, and deformity of the neck or spine, including work-related or on the job injuries. (emergeortho.com)

Humeral cementless surface replacement arthroplasties of the shoulder: an experimental investigation on their initial fixation. (biomechanik-giessen.de)

Distal Leg Wear Debris Mass from a Rotating Hinged Knee Prosthesis: A Case Report. (hiporthopaedics.gr)

The humeral and ulnar portions of the hinge are connected through a bushing and pin which do not allow varus-valgus motion. (medapparatus.com)
The humeral components of semiconstrained elbow prostheses are more prone to failure than the ulnar component. (medapparatus.com)

The objective of this prospective observational study is to compare plate versus nail fixation of two-,three- and four- part proximal humeral fractures regarding surgical time for intraoperative fluoroscopy, functional, functional assessment using Neer's score and radiological assessment of quality of reduction, presence of hard ware-related complications and rate of local complications. (crimsonpublishers.com)

T-Plate Osteosynthesis - An Obsolete Osteosynthesis Procedure for Proximal Humeral Fractures? (thieme-connect.com)

We reviewed all patients who underwent humeral shaft ORIF over a 9-year period to evaluate modes and location of failure by fracture type and fixation construct, as well as to determine the risk factors contributing to failure. (researchsquare.com)

we also demonstrated the safety and efficacy of this cell therapy in an earlier phase I/II clinical trial conducted on seven patients with fracture nonunion. (bvsalud.org)
[ 13 ] Rates of nonunion for supracondylar fractures proximal to total knee prostheses are higher than those for supracondylar fractures without the implant. (medscape.com)

The use of this technique in tumors of the middle or distal rectum is a surgical challenge, in which the trans anal route allows overcoming technical difficulties. (bvsalud.org)

This article will focus on the general terminology of fractures and delegate discussion of particular fracture patterns to separate articles (e.g. base of skull fractures ). (radiopaedia.org)

Effect of acetyl-L-carnitine on axonal sprouting following donor nerve injury distal to an end-to-side neurorrhaphy model. (orthopatras.gr)
Like fractures in other bone segments, proximal humeral fractures are divided into three groups subject to the severity and complexity of the respective injury 1 . (radiopaedia.org)
Results: In our study, majority were males (73.5%) and most common mode of injury (73.5%) was RTA with Neer's 3- part (44.1%) is the most common type of fracture. (crimsonpublishers.com)
Avascular necrosis (AVN) complicates between 21 and 75% of three- and four-part fractures, and is related to the initial injury, the fracture pattern, the integrity and size of the medial cortical hinge, and surgical dissection. (scielo.org.za)
Skull fractures are common in the setting of both closed traumatic brain injury and penetrating brain injury . (radiopaedia.org)
24 y.o male has been referred to fracture clinic query a right foot, Lisfranc injury, He presented to ED 2 days ago with inability to weightbear, forefoot pain and swelling after a tackle in a rugby game. (juniorbones.com)

Methods: The study included a total of 77 patients aged over 70 years with an AO type 31-A1 or 31-A2 fracture. (journaltocs.ac.uk)
A retrospective observational study was carried out, collecting information from patients with middle and distal rectal cancer undergoing surgery with this technique, in two level 4 institutions in Medellín, Colombia, between January 2017 and March 2022. (bvsalud.org)

The original placement of the implant may predispose to later fracture, the long-term presence of the device may change the structure of the bone and increase susceptibility to fracture, and the implant itself may interfere with healing or the placement of other fixation devices. (medscape.com)

Radial head replacement is now more common and is used to treat complex radial head fractures. (medapparatus.com)

Anatomy4

Diseases29

Chemicals and Drugs8

Analytical, Diagnostic and Therapeutic Techniques and Equipment32

Phenomena and Processes8

Technology, Industry, Agriculture5

Humanities1

Information Science2

Health Care8

Geographicals1

Femur6

Femoral fractures4

Arthroplasty11

Plate fixation4

Glenoid1

Instability1

Open reductio1

Proximal and distal4

Tibial plateau fractures2

Internal fixation5

Shaft fractures2

Tibia Fractures1

Diaphyseal1

Trauma2

Avulsion fracture1

Articular fractures1

Acetabular fractures1

Glenohumeral1

Outcomes5

Stems3

Fixation of fractures1

Acute fractures2

Tumor2

Infection2

Peri-implant4

Pelvis1

Humerus4

Stem3

Osteolysis2

Shoulder replacement1

Incidence3

Treatment6

Classification3

Loosening1

Biomechanical3

Soft tissue4

Indications1

Injuries3

Cementless1

Prosthesis1

Ulnar2

Intraoperative1

Osteosynthesis1

Underwent1

Nonunion2

Tumors1

Terminology1

Injury6

Patients2

Predispose1

Radial head1