[Ortho] Перипротезный перелом

[Enes M. Kanlic]

Alex,

 

Although, there is just one view, it seems that cement is still holding well on lateral side, cup also seems to be stable, but inside is asymmetric – poly is damaged ... options:

 

1. "Easy": long lateral plate and anterior strut allograft w/wo bone grafting

2. "Harder" Removal of prosthesis (has to be done if it is loose in remnant of intact proof proximal femur), and new long stem, porous coated prosthesis with new cup (pt is 59years old, probable in good health – survived 6 weeks of traction… this would be my 1st option)

3. I can not imagine how any “custom” nail might work, introduced from the knee, as you have been suggesting :O !!??  

 

Sincerely,

Enes M. Kanlic, MD, FACS
Professor