SURGICAL OPTIONS IN THE TRATAMENT OF PERIIMPLANT FEMORAL FRACTURES

  • B. PUHA “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • T.S. GHEORGHEVICI “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • Manuela POROH “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • B. VELICEASA “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • D. POPESCU “Grigore T. Popa” University of Medicine and Pharmacy Iasi
  • O. ALEXA “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Abstract

Aim: Hip fractures tend to increase as a global number-approx. 300,000/year. Life expectancy of the population is increasing, implicitly the diseases associated with the advanced age are increasing. At the same time, the number of peri-implant fractures (PIF) is increasing. These types of fractures usually have their headquarters at the base of the implant where poor quality bone comes into contact with the rigid implant. Our aim is to identify the factors that influence the production of these types of fractures and to optimize their treatment. Material and methods: We analyzed for 6 months, 4 patients with peri-implant fracture of the femur in terms of age, sex, place of origin, type of fracture, treatment type. The surgical treatment applied was different from case to case with favorable postoperative evolution. Results: The results from surgical interventions were optimal, assessing fracture stability, restoring mechanical stability, respecting the biological environment, and choosing the right fixation device. Conclusions: Peri-implant fractures are a distinct topic in fractures. The long-term implant can alter the bone structure, and may complicate the healing or placement of a new implant, making treatment a challenge for the surgeon.

Author Biographies

B. PUHA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Surgery (II)

T.S. GHEORGHEVICI, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Surgery (II)

Manuela POROH, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Surgery (II)

B. VELICEASA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Surgery (II)

D. POPESCU, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Surgery (II)

O. ALEXA, “Grigore T. Popa” University of Medicine and Pharmacy Iasi

Faculty of Medicine
Department of Surgery (II)

References

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Published
2018-04-04
Issue
Vol 122 No 1 (2018): The Medical-Surgical Journal
Section
SURGERY

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