Application of the reversed LISS-DF technique in an elderly patient to salvage infection-related failure of trochanteric fracture fixation.
Publisher DOI
PubMed ID
33665313
Abstract
Failure of cephalomedullary fixation in geriatric trochanteric fractures is a potential complication. Attempts have been made to optimize the implant fixation (e. g. cement augmentation) and several factors (e. g. malreduction, tip apex distance) have been identified as risk factors for failure. Nevertheless, if intramedullary fixation fails, it is often associated with bone defects in mostly preexisting poor bone-stock. Accordingly, conversion to total hip arthroplasty (THA) is recommended by some authors as the only valid treatment option. However, in specific situations (e. g. implant associated infection) conversion to THA might be less reasonable than an attempt to re-osteosynthesis. This article reports on the successful use of a reversed contralateral LISS-DF (LISS for the distal femur, DePuy Synthes, Zuchwil, Switzerland) application after failed cephalomedullary fixation and failed re-osteosynthesis using a blade plate in a trochanteric fracture in an elderly patient with additional implant associated infection.
Date Issued
2021-04
Publication Type
Article
Subject(s)
Subjects
Blade plate Cephalomedullary nail Infection Reversed LISS-DF Trochanteric fracture
Language(s)
en
Author(s)
Additional Credits
Journal
Trauma case reports
Publisher
Elsevier
ISSN
2352-6440
Access(Rights)
open.access