[Ortho] Перипротезный перелом

[dan schlatterer]

hello,
the proximal portion of the stem looks stable. I would consider a long trochanteric plate (synthes) with cables and unicortical locking screws along stem and bicortical screws below. allograft strut probably not necessary. no cables around the fragments. or, a left supracondylar femur plate could be reversed and placed along greater trochanter and fixed to the bone as above. good case.
dan

Daniel R. Schlatterer, DO, MS 
Vice Chairman,Orthopedic Surgery Residency Program 
Associate Director, Orthopedic Trauma 
Atlanta Medical Center