RESUMEN
Unstable proximal femur fractures above a knee revision stem are an emerging complication that is especially difficult to treat. Since this pattern does not adapt to any previously reported classification, we named it "inverted Vancouver C fracture". In this single-centre case series, we pose a nail-plate combination for the treatment of such clinical picture. The incidence was low among proximal and implant-related femoral fractures. All the fractures healed without records of major local complications. Thus, we consider this technique safe and reproducible.
Asunto(s)
Artroplastia de Reemplazo de Rodilla/efectos adversos , Fracturas del Fémur , Fracturas Periprotésicas , Anciano , Anciano de 80 o más Años , Clavos Ortopédicos , Placas Óseas , Femenino , Fracturas del Fémur/clasificación , Fracturas del Fémur/diagnóstico por imagen , Fracturas del Fémur/etiología , Fracturas del Fémur/cirugía , Fémur/diagnóstico por imagen , Fémur/lesiones , Fémur/cirugía , Fijación Intramedular de Fracturas , Humanos , Prótesis de la Rodilla , Masculino , Fracturas Periprotésicas/clasificación , Fracturas Periprotésicas/diagnóstico por imagen , Fracturas Periprotésicas/etiología , Fracturas Periprotésicas/cirugía , Reoperación , Estudios RetrospectivosRESUMEN
Tibial plateau fractures are a heterogeneous group of lesions with multiple fracture patterns. They are often associated with soft tissue injuries, the lateral meniscus and the anterior cruciate ligament (ACL) being the most common structures affected. The purpose of this article is to present a case series of an often missed unusual injury pattern that consists on the association of a large anteromedial tibial plateau fracture with a posterolateral (PL) knee corner injury without involvement of the cruciate ligaments. The diagnosis of PL complex injury may go unrecognized in a considerable number of cases and delay on the treatment decreases the success rate of soft tissue repairing. The importance of a high index of suspicion and a proper early diagnosis with an MRI is of paramount importance. We also describe the current surgical management used by the authors and review of the current literature.