title: [Breaking-out of osteosynthesis plate following femoral osteotomy near the hip joint (author's transl)].
abstract: Despite the progress in arthroplasty (TEP, double-cup plasty, ceramic prosthesis), adjustment osteotomy at the femur for prevention and treatment of osteoarthrosis of the hip is still an important procedure. It aims at reducing or removing pre-arthrotic deformity or at utilising remaining cartilaginous zones for taking part of the load. A wedge-shaped excision is usually performed in the intratrochanteric area. The fragments are then osteosynthesized under pressure by means of a blade plate (1, 2, 3, 4). If the osseous bridge between the blade and the osteotomy surface is too narrow, the blade may break out from its position. In such cases reosteosynthesis with a 90 degrees plate will not produce a stable result. The article describes three possibilities of saving the situation in such emergencies.
mesh_terms: D000328:Adult; D001860:Bone Plates; D002648:Child; D005260:Female; D005593:Fracture Fixation, Internal; D006617:Hip Dislocation / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D010003:Osteoarthritis / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery*
vernacular_title: Plattenausbruch nach hüftnahen Femurosteotomien.