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Minimally Invasive Osteosynthes of Periprosthetic Fractures in the Lower Extremity

  • Geriatric Orthopedics (E Meinberg, Section Editor)
  • Published:
Current Geriatrics Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Periprosthetic fractures (PPF) of the lower extremity are increasing as the population ages, as the number of joint replacement increases, and patients remain active. The management of PPFs is challenging because of implant and cement obstruction within the bone, poor bone quality, and limited availability of bone stock for screw purchase. Historically, they have been associated with high rates of nonunion, infection, and fixation failure. Minimally invasive osteosynthesis (MIO) has reduced complications and improved union rates compared to conventional open plating of fractures. This paper reviews the principles of treatment, implant choices, and technical challenges of MIO for PPF in the lower extremity.

Recent Findings

In recent series, PPF for the lower extremity has shown reduced complication rates, improved union, and early mobilization compared prior open treatment.

Summary

MIO for PPF is technically challenging but promising method of treatment for PPF.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, 444 S San Vicente #603, Los Angeles, CA, 90048, USA

    Carol A. Lin, Milton T. M. Little & Charles N. Moon

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  1. Carol A. Lin
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Correspondence to Carol A. Lin.

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Carol Lin and Milton Little declare no conflict of interest. Charles Moon reports personal fees from Stryker as a trauma consultant, outside the submitted work.

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This article is part of the Topical Collection on Geriatric Orthopedics

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Lin, C.A., Little, M.T.M. & Moon, C.N. Minimally Invasive Osteosynthes of Periprosthetic Fractures in the Lower Extremity. Curr Geri Rep 7, 256–263 (2018). https://doi.org/10.1007/s13670-018-0259-8

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