Secondary Logo

Journal Logo

Institutional members access full text with Ovid®

Orthogonal Plating With a 95-Degree Blade Plate for Salvage of Unsuccessful Cephalomedullary Nailing of Atypic Femur Fractures

A Technical Trick

Rollick, Natalie C., MD, FRCSC; Bear, Jessica, MD; Diamond, Owen, MD, FRCSEd(T&O); Wellman, David S., MD; Helfet, David L., MD

doi: 10.1097/BOT.0000000000001426
Technical Trick
Buy

Summary: Atypical femur fractures secondary to bisphosphonate use are often complicated by nonunion, which often results in progressive varus collapse, femoral head and neck bone loss, and eventual implant failure. We present a technique that uses orthogonal, dual plating of the proximal femur in addition to biologic augmentation for the management of these challenging fractures.

Orthopaedic Trauma Service, Hospital for Special Surgery and New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY.

Reprints: David L. Helfet, MD, Orthopaedic Trauma Service, Hospital for Special Surgery and New York Presbyterian Hospital, Weill Cornell Medicine, 535 East 70th St, New York City, NY 10021 (e-mail: helfetd@hss.edu).

The authors report no conflict of interest.

Accepted December 09, 2018

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.