{"title":"使用无骨水泥长柄和通过锁定板插入的联锁螺钉成功治疗股骨假体周围骨折后的顽固性不愈合：病例报告","authors":"Masashi Sato, Hisatoshi Ishikura , Naoto Kaminaga, Takeyuki Tanaka, Sakae Tanaka","doi":"10.1016/j.joscr.2024.05.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Nonunion after periprosthetic femoral fracture is a recalcitrant challenge for hip surgeons.</div></div><div><h3>Case presentation</h3><div>A 55-year-old man underwent hemiarthroplasty for right femoral head osteonecrosis at another hospital. Two weeks after surgery, he developed a periprosthetic femoral fracture. He was referred to our hospital because of nonunion of the fracture site even after five surgeries. Surgery was performed using a cementless long stem combined with a locking plate. Three locking screws were passed through the distal holes of the stem to improve fixation. Bone union was achieved, and he was able to walk six months after surgery.</div></div><div><h3>Conclusions</h3><div>A cementless long stem with interlocking screws inserted via a locking plate offers rigid stability and bone union. Our report is relevant because it highlights a surgical option for recalcitrant nonunion after periprosthetic femoral fractures.</div></div>","PeriodicalId":100743,"journal":{"name":"JOS Case Reports","volume":"3 4","pages":"Pages 196-200"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Successful treatment of a recalcitrant nonunion after periprosthetic femoral fracture using a cementless long stem with interlocking screws inserted via a locking plate: A case report\",\"authors\":\"Masashi Sato, Hisatoshi Ishikura , Naoto Kaminaga, Takeyuki Tanaka, Sakae Tanaka\",\"doi\":\"10.1016/j.joscr.2024.05.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Nonunion after periprosthetic femoral fracture is a recalcitrant challenge for hip surgeons.</div></div><div><h3>Case presentation</h3><div>A 55-year-old man underwent hemiarthroplasty for right femoral head osteonecrosis at another hospital. Two weeks after surgery, he developed a periprosthetic femoral fracture. He was referred to our hospital because of nonunion of the fracture site even after five surgeries. Surgery was performed using a cementless long stem combined with a locking plate. Three locking screws were passed through the distal holes of the stem to improve fixation. Bone union was achieved, and he was able to walk six months after surgery.</div></div><div><h3>Conclusions</h3><div>A cementless long stem with interlocking screws inserted via a locking plate offers rigid stability and bone union. Our report is relevant because it highlights a surgical option for recalcitrant nonunion after periprosthetic femoral fractures.</div></div>\",\"PeriodicalId\":100743,\"journal\":{\"name\":\"JOS Case Reports\",\"volume\":\"3 4\",\"pages\":\"Pages 196-200\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JOS Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2772964824000224\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JOS Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772964824000224","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Successful treatment of a recalcitrant nonunion after periprosthetic femoral fracture using a cementless long stem with interlocking screws inserted via a locking plate: A case report
Background
Nonunion after periprosthetic femoral fracture is a recalcitrant challenge for hip surgeons.
Case presentation
A 55-year-old man underwent hemiarthroplasty for right femoral head osteonecrosis at another hospital. Two weeks after surgery, he developed a periprosthetic femoral fracture. He was referred to our hospital because of nonunion of the fracture site even after five surgeries. Surgery was performed using a cementless long stem combined with a locking plate. Three locking screws were passed through the distal holes of the stem to improve fixation. Bone union was achieved, and he was able to walk six months after surgery.
Conclusions
A cementless long stem with interlocking screws inserted via a locking plate offers rigid stability and bone union. Our report is relevant because it highlights a surgical option for recalcitrant nonunion after periprosthetic femoral fractures.
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