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Inter-implant fractures: an unmet medical need—a preventive approach proposal

  • Technical Note • HIP - TRAUMA
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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Inter-implant fractures are associated with reduced quality of life and increased 1-year mortality. For that reason, we propose, instead of treating, a novel, preventative surgical approach that involves splinting the inter-implant femoral shaft interval. In patients with a previous femoral implant in whom a second surgery for new material implantation was necessary (including knee or hip arthroplasty, plate or femoral nailing), an overlapping technique using the minimally invasive plate osteosynthesis technique was performed during the second surgery. Nine patients were included, all females with median (range) age of 78 (55–88) years. No surgery-related complications or mortality occurred. Two patients suffered fractures from a casual fall postoperatively with no implant failure or hospital admission required. In conclusion, instead of treating such fractures after they occur, we propose an effective, safe and reproducible preventative surgical approach, not previously reported, which involves internal femoral splinting, a plate and the minimally invasive plate osteosynthesis technique.

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Funding

This research received no specific grants from any funding agency in the public, commercial or not-for-profit sectors.

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Author notes

  1. David Campillo-Recio and Miquel Videla-Ces have contributed equally to this study.

Authors and Affiliations

  1. Orthopaedic and Trauma Surgery Department, Hospital Consorci Sanitari Integral Sant Joan Despí, Barcelona, Spain

    David Campillo-Recio, Miquel Videla-Ces, Miquel Sales-Pérez & Guillem Molina-Olivella

  2. Orthopaedic and Trauma Surgery Department, Institut Català de Traumatologia i Medicina de l´Esport (ICATME), Hospital Universitari Quiron-Dexeus, Carrer Sabino de Arana, 5-19, 08028, Barcelona, Spain

    David Campillo-Recio

  3. Clinical Research Support Unit, Clinical Pharmacology Department, Bellvitge Biomedical Research Institute, Hospital Universitario Bellvitge, Barcelona, Spain

    Sebastian Videla

Authors
  1. David Campillo-Recio
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  2. Miquel Videla-Ces
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  3. Miquel Sales-Pérez
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  4. Guillem Molina-Olivella
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  5. Sebastian Videla
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Corresponding author

Correspondence to David Campillo-Recio.

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Conflict of interest

Authors David Campillo-Recio, Miquel Videla-Ces, Miquel Sales-Pérez, Guillem Molina-Olivella and Sebastian Videla declare that they have no conflict of interest. Dr. Miquel Videla-Cés is a Ph.D. candidate in the Universitat de Barcelona, Spain.

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Campillo-Recio, D., Videla-Ces, M., Sales-Pérez, M. et al. Inter-implant fractures: an unmet medical need—a preventive approach proposal. Eur J Orthop Surg Traumatol 30, 539–543 (2020). https://doi.org/10.1007/s00590-019-02581-6

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  • DOI: https://doi.org/10.1007/s00590-019-02581-6

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