Prognostic Factors and Clinical Outcomesafter Treatment of Periprosthetic Femoral Fractures Using a Cable-plate

Joon Soon Kang, Kyoung Ho Moon, Bong Sung Ko, Tae Hoon Roh, Yeop Na, Yung Hun Youn, Joo Hyun Park

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Purpose: To analyze prognostic factors for the treatment of periprosthetic femoral fractures (PFFs) using the cable-plate construct. Materials and Methods: A retrospective review of a consecutive series of 41 PFFs treated by osteosynthesis using the cable-plate system. The mean age of patients was 67.3±12.1 years (range, 42-86 years) and the mean follow-up period was 31.5±11.6 months (range, 12-58 months). Fresh frozen cortical strut allografts were leveraged in three cases for additional stability. Prognostic factors that may potentially affect clinical outcomes were analyzed. Results: At the time of final follow-up, fracture union was obtained in 29 hips (70.7%; Group I) after an average of 13.5 weeks (range, 12-24 weeks). Healing failure after surgical treatment was observed in 12 cases (29.3%; Group II), including delayed union (n=10) cases and nonunion (n=2). Factors significantly associated with fracture union included fracture pattern (P=0.040), plate overlap percentage to stem length (P<0.001) and Tscore at the preoperative bone mineral density (P=0.011). Transverse-type fractures around or just distal to a well-fixed femoral stem were observed in six cases (50.0%) of Group II. Conclusion: The cable-plate osteosynthesis of PFFs should be performed with caution in transverse- pe fractures or in cases with severe osteoporosis. Fixation with sufficient plate overlap to stem length  ay be critical to prevent healing failure.

Original languageEnglish
Pages (from-to)166-173
Number of pages8
JournalHip and Pelvis
Volume31
Issue number3
DOIs
StatePublished - 1 Sep 2019

Keywords

  • Cable-plate construct
  • Periprosthetic fractures
  • Total hip replacement

Fingerprint

Dive into the research topics of 'Prognostic Factors and Clinical Outcomesafter Treatment of Periprosthetic Femoral Fractures Using a Cable-plate'. Together they form a unique fingerprint.

Cite this