title: Minimally invasive surgery with locking plate for periprosthetic femoral fractures: technical note.
abstract: OBJECTIVE
  Periprosthetic fractures of the femur are increasing due to the increase of arthroplasties and the aging population. They concern a population that is often elderly and with important comorbidities that complicate managing this already complex pathology. Usual complications of classic osteosynthesis are numerous, including infections and nonunions and the need for delayed weight bearing after surgery.
  
  
  RESULTS
  The development of locking plates has allowed complication avoidance. When used in minimally invasive surgery, they combine the biological advantages of closed-wound surgery to the mechanical advantages of locking plates, which have better stability in fragile bones. We propose a technical update on handling such fractures by using locking plates under minimally invasive surgery.
  
  
  CONCLUSIONS
  In our experience, under certain guidelines, this allows for immediate post-operative full weight bearing, which is beneficial to these often elderly patients.
authors.affiliation: Service de Chirurgie Orthopédique et de Traumatologie, CHU Hautepierre, Hôpitaux Universitaires de Strasbourg, 1 Avenue Molière, 67098, Strasbourg Cedex, France. Matthieu.ehlinger@chru-strasbourg.fr.
authors.forename: Matthieu
authors.initials: M
authors.lastname: Ehlinger
authors.affiliation: Service de Chirurgie Orthopédique et de Traumatologie, CHU Hautepierre, Hôpitaux Universitaires de Strasbourg, 1 Avenue Molière, 67098, Strasbourg Cedex, France.
authors.forename: Benjamin
authors.initials: B
authors.lastname: Scheibling
authors.affiliation: Service de Chirurgie Orthopédique et de Traumatologie, CHU Hautepierre, Hôpitaux Universitaires de Strasbourg, 1 Avenue Molière, 67098, Strasbourg Cedex, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Rahme
authors.affiliation: Service de Chirurgie Orthopédique et de Traumatologie, CHU Hautepierre, Hôpitaux Universitaires de Strasbourg, 1 Avenue Molière, 67098, Strasbourg Cedex, France.
authors.forename: David
authors.initials: D
authors.lastname: Brinkert
authors.affiliation: Service de Chirurgie Orthopédique et de Traumatologie, CHU Hautepierre, Hôpitaux Universitaires de Strasbourg, 1 Avenue Molière, 67098, Strasbourg Cedex, France.
authors.forename: Benoit
authors.initials: B
authors.lastname: Schenck
authors.affiliation: Service de Chirurgie Orthopédique et de Traumatologie, CHU Hautepierre, Hôpitaux Universitaires de Strasbourg, 1 Avenue Molière, 67098, Strasbourg Cedex, France.
authors.forename: Antonio
authors.initials: A
authors.lastname: Di Marco
authors.affiliation: Service de Chirurgie Orthopédique et de Traumatologie, CHU Hautepierre, Hôpitaux Universitaires de Strasbourg, 1 Avenue Molière, 67098, Strasbourg Cedex, France.
authors.forename: Philippe
authors.initials: P
authors.lastname: Adam
authors.affiliation: Service de Chirurgie Orthopédique et de Traumatologie, CHU Hautepierre, Hôpitaux Universitaires de Strasbourg, 1 Avenue Molière, 67098, Strasbourg Cedex, France.
authors.forename: François
authors.initials: F
authors.lastname: Bonnomet
mesh_terms: D001860:Bone Plates / Q000009:adverse effects*; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D057068:Periprosthetic Fractures / Q000601:surgery*; D011184:Postoperative Period
keywords: Locking plate; Minimally invasive surgery; Periprosthetic fracture; Traumatology