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Peri-implant fractures of the upper and lower extremities: a case series of 61 fractures

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

To assess outcomes for patients who sustained peri-implant fractures (PIFs).

Methods

Medical records of patients who sustained a PIF were reviewed for demographic, injury, outcome, and radiographic data. PIFs were classified using a reproducible system and stratified into cohorts based on fracture location. Clinical outcomes were evaluated for each cohort.

Results

Fifty-six patients with 61 PIFs with at least 6 months of follow-up were included. The mean age of the cohort was 60.4 ± 19.5 years. Twenty-two (36.1%) PIFs occurred in males, while 39 (63.9%) occurred in females. Fifty-two (85.2%) PIFs were sustained from a low-energy injury mechanism. PIFs were most often treated with plate/screw constructs (50.8%). Complications included: 6 (9.8%) nonunions, 5 of which were successfully treated to healing, 5 (8.2%) fracture related infections (FRI), and 1 (1.6%) hardware failure. Sixty (98.4%) PIFs ultimately demonstrated radiographic healing.

Conclusion

PIFs are usually treated surgically and have a relatively high incidence of complications, with nonunion in femoral PIFs being the greatest. Despite this, the rate of ultimate healing is quite high.

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Funding

No funding was received for conducting this study.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, 301 E 17th St, Suite 1402, New York, NY, 10003, USA

    Cody R. Perskin & Kenneth A. Egol

  2. Department of Orthopedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA

    Abhijit Seetharam & Brian H. Mullis

  3. Department of Orthopedic Surgery, Lahey Hospital and Medical Center, Burlington, MA, USA

    Andrew J. Marcantonio, John Garfi & Alexander J. Ment

Authors
  1. Cody R. Perskin
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  2. Abhijit Seetharam
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  3. Brian H. Mullis
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  4. Andrew J. Marcantonio
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  5. John Garfi
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  6. Alexander J. Ment
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  7. Kenneth A. Egol
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Correspondence to Kenneth A. Egol.

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Perskin, C.R., Seetharam, A., Mullis, B.H. et al. Peri-implant fractures of the upper and lower extremities: a case series of 61 fractures. Eur J Orthop Surg Traumatol 32, 467–474 (2022). https://doi.org/10.1007/s00590-021-03005-0

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  • DOI: https://doi.org/10.1007/s00590-021-03005-0

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