Strategies in Trauma and Limb Reconstruction

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  18 (2023)
Volume  17 (2022)
Volume  16 (2021)
Volume  15 (2020)
Volume  14 (2019)
Volume  13 (2018)
Volume  12 (2017)
Volume  11 (2016)
Volume  10 (2015)
Volume  9 (2014)
Volume  8 (2013)
Volume  7 (2012)
Volume  6 (2011)
Volume  5 (2010)
Volume  4 (2009)
Volume  3 (2008)
Volume  2 (2007)
Volume  1 (2006)
Related articles

VOLUME 11 , ISSUE 2 ( August, 2016 ) > List of Articles

Original Article

Femoral locking plate failure salvaged with hexapod circular external fixation: a report of two cases

Nando Ferreira, L. C. Marais

Keywords : Locking plate, Non-union, Hexapod, Circular external fixator, Reconstruction

Citation Information : Ferreira N, Marais LC. Femoral locking plate failure salvaged with hexapod circular external fixation: a report of two cases. 2016; 11 (2):123-127.

DOI: 10.1007/s11751-016-0254-6

License: CC BY-NC-SA 4.0

Published Online: 01-06-2014

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

Femoral non-unions are difficult to treat even for the experienced orthopaedic trauma surgeon. If the non-union follows failure of modern stable internal fixation, the complexity of the management is further increased. We report two cases of stiff hypertrophic femoral non-unions after failed locking plate fixation that were successfully treated with a new hexapod circular external fixator. In addition to providing the necessary stability for functional rehabilitation and union, the hexapod circular fixator software allows gradual correction of deformities in order to restore the normal mechanical alignment of the limb.

PDF Share
  1. Leahy M (2010) When locking plates fail. AAOS Now 5(5):9
  2. Cronier P, Pietu G, Dujardin C, Bigorre N, Ducellier F, Gerard R (2010) The concept of locking plates. Orthop Traumatol Surg Res. PubMed PMID: 20447888
  3. Gardner M, Helfet D, Lorich DG (2004) Has locked plating completely replaced conventional plating?AmJ Orthop 33(9):439-446
  4. Hak DJ, Toker S, Yi C, Toreson J (2010) The influence of fracture fixation biomechanics on fracture healing. Orthopedics 33(10):752-755
  5. Strauss EJ, Schwarzkopf R, Kummer F, Egol KA (2008) The current status of locked plating: the good, the bad, and the ugly. J Orthop Trauma 22(7):479-486
  6. Harwood P, Newman J, Michael ALR (2010) An update on fracture healing and non-union. Orthop Trauma 24(1):9-23
  7. Abumunaser LA, Al-Sayyad MJ (2011) Evaluation of the calori et Al nonunion scoring system in a retrospective case series. Orthopedics 34(5):359
  8. Bhandari M, Schemitsch E (2000) Clinical advances in the treatment of fracture nonunion: the response to mechanical stimulation. Cur Opin Orthop 11:372-377
  9. Dimitriou R, Kanakaris N, Soucacos PN, Giannoudis PV (2013) Genetic predisposition to non-union: evidence today. Injury 44(Suppl 1):S50-S53
  10. Tzioupis C, Giannoudis PV (2007) Prevalence of long-bone nonunions. Injury 38(Suppl 2):S3-S9
  11. Antonova E, Le Kim T, Burge R, Mershon J (2013) Tibia Shaft fracture—costly burden of nonunions.pdf. BMC Musculoskel Disord 14:42
  12. Perumal V, Roberts C (2007) (ii) Factors contributing to nonunion of fractures. Curr Orthop. 21(4):258-261
  13. Zeckey C, Mommsen P, Andruszkow H, Macke C, Frink M, Stubig T, et al. (2011) The aseptic femoral and tibial shaft nonunion in healthy patients—an analysis of the health-related quality of life and the socioeconomic outcome. Open Orthop J 5:193-7. PubMed PMID: 21686321. Pubmed Central PMCID: 3115668
  14. Ferreira N, Marais LC (2012) Osteosarcoma presentation stages at a tumour unit in South Africa. S Afr Med J 102(8):673-676
  15. Ferreira N, Marais LC (2012) Prevention and management of external fixator pin track sepsis. Strat Traum Limb Recon 7(2):67-72. PubMed PMID: 22729940. Pubmed Central PMCID: 3535127
  16. Checkets RG, Otterburn M, MacEachern G (1993) Pin track infection: definition, incidence and prevention. Int J Orthop Trauma 3(Suppl):16-18
  17. Kubiak EN, Fulkerson E, Strauss E, Egol KA (2006) The evolution of locked plates. J Bone Joint Surg [Am]. 88(4):189-200
  18. Egol KA, Kubiak EN, Fulkerson E, Kummer FJ, Koval KJ (2004) Biomechanics of locked plates and screws. J Orthop Trauma 18(8):488-493
  19. Wu CC, Chen WJ (2000) A revised protocol for more clearly classifying a nonunion. J Orthop Surg 8(1):45-52
  20. Judet J, Judet R (1960) L'osteogene et les retards de consolidation et les pseudarthroses des os longs. Huitieme Congress SICOT 15
  21. Weber B, Cech O (eds) (1976) Pseudarthrosis. Hans Huber, Bern
  22. Somford MP, van den Bekerom MP, Kloen P (2013) Operative treatment for femoral shaft nonunions, a systematic review of the literature. Strat Traum Limb Recon 8(2):77-88. PubMed PMID: 23892497. Pubmed Central PMCID: 3732674
  23. Gershuni DH (1989) Fracture nonunion. West J Med 150(6):689-690. PubMed PMID: 2750154. Pubmed Central PMCID: 1026720
  24. Fadel M, Hosny G (2005) The Taylor spatial frame for deformity correction in the lower limbs. Int Orthop 29(2):125-129. PubMed PMID: 15703937. Pubmed Central PMCID: 3474509
  25. Taylor J. Correction of general deformity with the Taylor Spatial Frame. http://www.jcharlestaylor.com2002
  26. Gao XS, Lei D, Liao Q, Zhang GF (2005) Generalized Stewart- Gough platforms and their direct kinematics. IEEE Trans 21(2):141-151
  27. Husty ML (1996) An algorithm for solving the direct kinematics of general Stewart-Gough platforms. Mech Mach Theory 31(4):365-379
  28. Ilizarov GA (1989) The tension-stress effect on the genesis and growth of tissues: part II. The influence of the rate and frequency of distraction. Clin Orthop Relat Res 239:263-285
  29. Ilizarov GA (1989) The tension-stress effect on the genesis and growth of tissues. Part I. The influence of stability of fixation and soft-tissue preservation. Clin Orthop Relat Res 238:249-281
  30. Ilizarov GA (1990) Clinical application of the tension-stress effect for limb lengthening. Clin Orthop Relat Res 250:8-26
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.