Portal de Periódicos da CAPES

Periprothetische Femurfrakturen bei Hüfttotalendoprothesen. Funktioneller und radiologischer Vergleich zwischen Plattenosteosynthese und proximalem Femurersatz

2000; Thieme Medical Publishers (Germany); Volume: 138; Issue: 05 Linguagem: Inglês

10.1055/s-2000-10175

1438-941X

R. Dorotka, Reinhard Windhager, R. Kotz,

Total Knee Arthroplasty Outcomes

Clinical and radiological examinations were performed to compare plate osteosynthesis (group 1) with replacement of the proximal femur by tumor prosthesis (group 2) in patients with ipsilateral femoral fractures around a hip prosthesis.Of 24 consecutive patients with 25 fractures, nine had died and one could be contacted by telephone leaving 14 hips (in one case only recent X-rays were available) for final review (nine patients from group 1; five from group 2).At the time of examination four patients of group 1 were using one cane or were walking without any support, all patients of group 2 needed one or two crutches. In 5 of 9 patients in group 1 and in 4 of 5 in group 2 a firm fit of the prosthesis was observed.Group 1 achieved better clinical results in postoperative mobility, whereas femoral replacement showed better radiological results. Survival of patients with tumor prostheses was considerably superior to that of patients with plate osteosynthesis.