title: Use of a proximal humeral plate for a paediatric peri-prosthetic femoral fracture.
abstract: In this case an 18-year-old female with cerebral palsy sustained a peri-prosthetic femoral fracture adjacent to a blade plate previously inserted for a femoral varus osteotomy. The injury was treated using a long proximal humeral locking plate. The existing blade plate was removed. The fracture was reduced and held, and a 10-hole PHILOS™ plate applied with near anatomical reduction. There were no post-operative complications. Radiographic union was confirmed at 11 months. To our knowledge, this is the first reported use of a PHILOS™ plate in the management of a femoral peri-prosthetic fracture and successfully demonstrated a straightforward method for revision fixation.
authors.affiliation: Department of Orthopaedics, Royal Alexandra Hospital, Paisley, Glasgow, UK colinrshaw60@yahoo.co.uk.
authors.forename: C R
authors.initials: CR
authors.lastname: Shaw
authors.affiliation: Department of Orthopaedics, Royal Alexandra Hospital, Paisley, Glasgow, UK.
authors.forename: J
authors.initials: J
authors.lastname: Badhesha
authors.affiliation: Department of Orthopaedics, Royal Alexandra Hospital, Paisley, Glasgow, UK.
authors.forename: G
authors.initials: G
authors.lastname: Ayana
authors.affiliation: Department of Orthopaedics, Royal Alexandra Hospital, Paisley, Glasgow, UK.
authors.forename: R
authors.initials: R
authors.lastname: Abu-Rajab