title: Treatment of periprosthetic femoral fracture after cementless total hip arthroplasty with Ilizarov external fixation.
abstract: A 72-year-old woman with periprosthetic femoral fracture after cementless total hip arthroplasty (THA) underwent external fixation using the Ilizarov method. Although open reduction and internal fixation with a condylar plate system were initially attempted, deep infection with methicillin-resistant Staphylococcus aureus at the fracture site occurred 2 weeks postoperatively. Six weeks after removal of the plating system, the fracture was stabilized with external fixation using the Ilizarov method and went on to successful fusion at 3 months. To our knowledge, this is the first report in which Ilizarov external fixation has been used for periprosthetic femoral fracture after THA. Although this is a rare situation, where periprosthetic fracture and infection coexist, Ilizarov external fixation is a safe and reliable method for periprosthetic femoral fracture with infection.
authors.affiliation: Department of Orthopaedic Surgery, Osaka National Hospital, Osaka, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Sakai
authors.forename: Kenji
authors.initials: K
authors.lastname: Ohzono
authors.forename: Takanobu
authors.initials: T
authors.lastname: Nakase
authors.forename: Seung Bak
authors.initials: SB
authors.lastname: Lee
authors.forename: Tomoya
authors.initials: T
authors.lastname: Manaka
authors.forename: Shunsaku
authors.initials: S
authors.lastname: Nishihara
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D016267:External Fixators; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006801:Humans; D011859:Radiography; D014640:Vancomycin / Q000008:administration & dosage
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin