Abstract
Fixing a fracture is an important step in treating and achieving fracture union. Every fixed fractured needs to be followed up regularly and longitudinally until fracture consolidation is seen and the clinical pre-injury status of the patient is attained. However, sometimes this gradual return to normalcy does not proceed according to plan. The experienced surgeon can predict that the implant and fixation is about to fail. This prediction can in turn allow the surgeon to be well prepared with a sound plan even before attempting the index surgery or foresee the outcome of an already performed surgery and plan a treatment regimen to prevent implant from failing. This chapter discusses these predictors of failure with actual radiological examples as well as some of the remedies employed to deal with them.
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References
Sanaullah MI. An audit of implant failure in orthopedic surgery. 2014;26(2).
Fini M, Giardino R. In vitro and in vivo tests for the biological evaluation of candidate orthopedic materials: benefits and limits. J Appl Biomater Biomech. 2003;1:155–63.
Lv H, Chang W, Yuwen P, et al. Are there too many screw holes in plates for fracture fixation? BMC Surg. 2017;17:46.
Engelhart S, Segal RJ. Allergic reaction to vanadium causes a diffuse eczematous eruption and titanium alloy orthopedic implant failure. Cutis. 2017;99(4):245–9.
Pacheco KA, Denver MSPH, et al. Chief complaint review allergy to surgical implants. J Allergy Clin Immunol Pract. 2015;3(5):683–95. https://doi.org/10.1016/j.jaip.2015.07.011 PMID:26362550.
Thalji GN. Genome wide assessment of early osseointegration in implant-adherent cells. Source: Diss Abstr Int. 74-05(E), Section: B. 166 p.
Mödinger Y, Teixeira GQ, Cornelia. Role of the complement system in the response to orthopedic biomaterials. Int J Mol Sci. 2018;19:3367.
Landgraeber S, Jäger M, Jacobs JJ. Review Article The pathology of orthopedic implant failure is mediated by innate immune system cytokines. 2014. Article ID 185150, 9 pages.
Bottlang M, Schemitsch CE, Nauth A, et al. Biomechanical concepts for fracture fixation. J Orthop Trauma. 2015;29(012):S28.
Dehghan N, McKee MD, Nauth A, et al. Surgical fixation of Vancouver type B1 periprosthetic femur fractures: a systematic review. J Orthop Trauma. 2014;28(12):721.
Rizk AS, Al-Ashhab ME. Primary bone grafting with locked plating for comminuted distal femoral fractures: can it improve the results? Egypt Orthop J. 2015;50:77–83.
Esan O, Ikem IC, Orimolade EA, et al. Implant failure in lower limb long bone diaphyseal fractures at a tertiary hospital in IleIfe, Nigeria. Niger Postgrad Med J. 2014;21(2):1814.
Ricci WM, Streubel PN, Morshed S, et al. Risk factors for failure of locked plate fixation of distal femur fractures: an analysis of 335 cases. J Orthop Trauma. 2014;28(2):83–9.
Perren, S. M. Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology. J Bone Joint Surg. 2002;84(8):1093–110.
Goodship AE, Kenwright J, Goodship AE, et al. The influence of induced micromovement upon the healing of experimental tibial fractures. J Bone Joint Surg Br. 1985;67(4):650–5.
Bottlang M, Lesser M, Koerber J, et al. Far cortical locking can improve healing of fractures stabilized with locking plates. J Bone Joint Surg Am. 2010;92:1652–60.
Bottlang M, Feist F. Biomechanics of far cortical locking. J Orthop Trauma. 2011;25(Suppl 1):S21–8.
Bottlang M, Doornink J, Fitzpatrick DC, et al. Far cortical locking can reduce stiffness of locked plating constructs while retaining construct strength. J Bone Joint Surg Am. 2009;91(8):1985–94.
Meeuwis MA, Pull Ter Gunne AF, Verhofstad MH, et al. Construct failure after open reduction and plate fixation of displaced midshaft clavicular fractures. 2017. Epub Jan 23.
Brumback RJ, Virkus WW. Intramedullary nailing of femur: reamed versus non-reamed. J Am Acad Orthop Surg. 2000;8:83–90.
Winquist RA. Locked femoral nailing. J Am Acad Orthop Surg. 1993;1:95–105.
Kumar S, Kumar D, Gill SPS, et al. Evaluation of implant failure in long bones fractures – a retrospective study. Indian J Orthop Surg. 2016;2(1):64–8.
Barbosa JL, do Nascimento IMV, Caminha IC, et al. Premature failure in orthopedic implants: analysis of three different cases. J Fail Anal Prev. 2009;9:67–73.
Wilson WK, Morris RP, Ward AJ, et al. Torsional failure of carbon fiber composite plates versus stainless steel plates for comminuted distal fibula fractures. Foot Ankle Int. 2016;37(5):548–53.
Larsson Wexell C, Thomsen P, Aronsson BO, et al. Research Article Bone response to surface-modified titanium implants: studies on the early tissue response to implants with different surface characteristics. Hindawi Publishing Corporation Int J Biomater. 2013. Article ID 412482, 10 pages.
Förster Y, Rentsch C, Schneiders W, et al. Surface modification of implants in long bone biomatter. Landes Biosci. 2012;2(3):149–57.
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Rana, N., Das De, S. (2023). Trying to Predict Implant Failure in Orthopaedic Traumatology. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-19-7540-0_4
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DOI: https://doi.org/10.1007/978-981-19-7540-0_4
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