title: Endosteal substitution with an allograft cortical strut in the treatment of a periprosthetic femur fracture: a case report.
abstract: The use of allograft cortical struts in the treatment of periprosthetic fractures of the femur has been well described. Allograft struts are used to supplement cerclage wire fixation or may be placed outside the cortex opposite plate and screw fixation to improve screw fixation in osteoporotic bone. This generally requires extensive soft tissue stripping and may lead to delayed bony union. A technique is described wherein an allograft strut was inserted into the medullary canal through the fracture site and used as an endosteal substitution for osteoporotic cortical bone. This technique can improve screw fixation in osteoporotic bone while avoiding devascularization of the fractured femur.
authors.affiliation: Lafayette Orthopedic Clinic, 2525 South Street, Lafayette, IN 47904-3075, U.S.A.
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Konrath
authors.forename: Sherice
authors.initials: S
authors.lastname: Bahler
mesh_terms: D000058:Accidental Falls; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods*; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D008297:Male; D011859:Radiography; D020127:Recovery of Function; D014184:Transplantation, Homologous; D016896:Treatment Outcome