Stabilisation of a loosened femoral gamma nail by percutaneous cement injection (cementoplasty): a new technique.
Skeletal Radiol
; 44(10): 1535-9, 2015 Oct.
Article
en En
| MEDLINE
| ID: mdl-26138339
ABSTRACT
Surgical repair of pertrochanteric and subtrochanteric fractures in the elderly is usually achieved using an endomedullary nail. Unfortunately, even today, some of the patients who undergo this intervention develop periprosthetic bone absorption over time that can lead to loosening of the prosthesis, resulting in pain, joint instability and the need for revision surgery. Surgical revision is hindered by potential complications related to patients' existing underlying medical conditions. It is often the case that these patients are weak and present comorbidities, which can lead to an absolute contraindication to surgery. An interesting alternative could be the stabilisation by percutaneous injection of cement (cementoplasty) in the periprosthetic space under CT and fluoroscopic guidance. In patients with absolute contraindication we performed percutaneous cementoplasty as treatment for femoral prosthesis loosening. Our procedure was technically a success following the end of the intervention period (follow-up 6 months). The patient no longer experienced significant pain and showed stability of the prosthesis, as demonstrated by CT.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Cementos para Huesos
/
Falla de Prótesis
/
Artroplastia de Reemplazo de Cadera
/
Cementoplastia
/
Prótesis de Cadera
Tipo de estudio:
Guideline
/
Observational_studies
/
Prognostic_studies
Límite:
Aged80
/
Female
/
Humans
Idioma:
En
Revista:
Skeletal Radiol
Año:
2015
Tipo del documento:
Article
País de afiliación:
Francia