title: Repeat LISS treatment for femoral shaft fractures due to hardware failure: a retrospective analysis of eleven cases.
abstract: OBJECTIVE
  To evaluate the effectiveness of a replating technique having a less-invasive stabilization system (LISS) for femoral shaft fractures due to LISS failure in adults.
  
  
  METHODS
  There were 11 patients with hardware failure of LISS for femoral shaft fractures, on an average of 50 days after the primary operation. The failed implants were removed, and the fractures were replated with a LISS following the rationale of biological osteosynthesis. Radiological fracture union and incidence of postoperative complications were employed to evaluate the effectiveness of this replating technique for femoral shaft fractures.
  
  
  RESULTS
  Operative duration including removing failed hardware and replating fractures averaged 81.5 min, with an average blood loss of 330 ml. Patients had an average follow-up of 25.7 months. Radiological evaluation indicated that fracture union occurred in an average of 4.4 months in all patients. The length and alignment of the affected limb were satisfactory, and hardware failure did not recur.
  
  
  CONCLUSIONS
  The replating technique with LISS for femoral shaft fractures due to hardware failure of LISS can obtain satisfactory results when the appropriate rationale of biological osteosynthesis and functional exercise is followed.
authors: Department of Orthopedics, Shanghai East Hospital, Tongji University, No. 150 Jimo Road, Shanghai, 200120, China.
authors: Xu
authors: X
authors: Li
authors: Xian
authors: X
authors: Xu
authors: Lin
authors: L
authors: Liu
authors: Qin
authors: Q
authors: Shao
authors: Wei
authors: W
authors: Wu
mesh_terms: D000058:Accidental Falls; D000063:Accidents, Traffic; D000328:Adult; D001860:Bone Plates; D020878:Device Removal / Q000379:methods; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D011475:Prosthesis Failure / Q000009:adverse effects*; D011859:Radiography; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies