[ORT-L] Periprosthetic femoral shaft nonunion


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[ORT-L] Periprosthetic femoral shaft nonunion

alex61 at gmail
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Apr 9, 2007, 9:34 AM

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[ORT-L] Periprosthetic femoral shaft nonunion	Can't Post

Dear colleagues

A colleague of mine requests advices on management of the presentd
case.
A female 24 y.o with juvenile rheumatoid arthritis was operated in
July 2004 - THA (DePuy AML). All was OK, the patien was satisfied.

June 2006 - in a car accident in sustained periprosthetic shaft
fracture. Two weeks later ORIF with Bridge Plate (DePuy) was
performed. 3 month on crutcjes, then started to increase
weight-bearing. 6 month later the deformation was obvious.

The current plan is to perform ORIF with longer plate og the same
design with bone grafting and/or bone substitutes like MIIG, IGNITE,
ALLOMATRIX.

Is the plan reasonable, maybe any alternative exists? Any other
treatment modalities? Can somebody share results of such Bridge
plating?

THX for your suggestions.

--
Best regards,
Alexander N. Chelnokov
Ural Scientific Research Institute
of Traumatology and Orthopaedics
7, Bankovsky str. Ekaterinburg 620014 Russia

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