Prevention of potential fracture between two implants using interlocking bipolar cut short GK nail and Enders nail.
A technique to prevent a potential fracture occurring between the distal end of a cementless hip prosthesis and the proximal end of a dynamic compression screw (DCS) is described. The method involves bridging the two implants using a bipolar shortened femoral nail, which is further improved by filling the gap between the stem and the femoral nail with an Enders nail. The distal connection is secured by placing the distal locking screw of the femoral nail through the distal femoral plate of the dynamic compression plate first before locking the nail to the distal femur. Further stabilisation and promotion of healing at the distal femur were achieved using cement and bone graft.
Yip
K M
KM
Department of Orthopaedics and Traumatology, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
D000368:Aged; D000369:Aged, 80 and over; D001178:Arthroplasty / Q000295:instrumentation* / Q000379:methods; D001863:Bone Screws; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000517:prevention & control*; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D006622:Hip Prosthesis; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging; D011859:Radiography; D016474:Weight-Bearing