dc.contributor
Institut Català de la Salut
dc.contributor
[Andrés-Peiró JV, Corona PS, Teixidor-Serra J] Servei de Cirurgia Ortopèdica i Traumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca en Cirurgia Reconstructiva de l’Aparell Locomotor, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Departament de Cirurgia, Universitat Autònoma de Barcelona, Bellaterra, Spain. [Piedra-Calle CA, Tomàs-Hernández J, Amat C] Servei de Cirurgia Ortopèdica i Traumatologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Grup de Recerca en Cirurgia Reconstructiva de l’Aparell Locomotor, Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain
dc.contributor
Vall d'Hebron Barcelona Hospital Campus
dc.contributor.author
Andrés Peiró, José Vicente
dc.contributor.author
Piedra Calle, Carlos Alberto
dc.contributor.author
Tomás-Hernández, Jordi
dc.contributor.author
Corona, Pablo S.
dc.contributor.author
Amat, Carles
dc.contributor.author
Teixidor Serra, Jordi
dc.date.accessioned
2025-06-15T00:00:55Z
dc.date.available
2025-06-15T00:00:55Z
dc.date.issued
2025-05-21T12:55:12Z
dc.date.issued
2025-05-21T12:55:12Z
dc.identifier
Andrés-Peiró JV, Piedra-Calle CA, Tomàs-Hernández J, Corona PS, Amat C, Teixidor-Serra J. “Close to the tip, with little bone to grip”: stabilizing two periprosthetic proximal femur fractures above a distal femur megaprosthesis using a combination of DHS and 3.5 mm screws. Trauma Case Reports. 2025 May;57:101167.
dc.identifier
http://hdl.handle.net/11351/13116
dc.identifier
10.1016/j.tcr.2025.101167
dc.identifier.uri
http://hdl.handle.net/11351/13116
dc.description.abstract
Dynamic hip screw; Megaprosthesis; Periprosthetic fracture
dc.description.abstract
Tornillo dinámico de cadera; Megaprótesis; Fractura periprotésica
dc.description.abstract
Cargol dinàmic de maluc; Megapròtesi; Fractura periprotèsica
dc.description.abstract
The incidence of periprosthetic fractures is increasing, presenting significant challenges due to patient longevity and the complexity of repeated surgeries. This report details the successful treatment of a previously unreported periprosthetic fracture pattern using a modified dynamic hip screw (DHS) technique. Two cases involved patients with extracapsular fractures in short proximal femur segments above megaprostheses. The fractures were reduced and stabilized with a DHS device, complemented by 3.5 mm screws from a different manufacturer to achieve effective bicortical fixation around the thick stems. Early weight-bearing was initiated postoperatively, with both patients achieving fracture healing without mechanical complications. This approach highlights the importance of careful preoperative planning and the selection of appropriate fixation methods, particularly in complex cases where traditional solutions may not be viable.
dc.format
application/pdf
dc.relation
Trauma Case Reports;57
dc.relation
https://doi.org/10.1016/j.tcr.2025.101167
dc.rights
Attribution-NonCommercial-NoDerivatives 4.0 International
dc.rights
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights
info:eu-repo/semantics/openAccess
dc.subject
Fèmur - Fractures
dc.subject
Fèmur - Cirurgia
dc.subject
DISEASES::Wounds and Injuries::Fractures, Bone::Periprosthetic Fractures
dc.subject
Other subheadings::Other subheadings::Other subheadings::/surgery
dc.subject
DISEASES::Wounds and Injuries::Fractures, Bone::Femoral Fractures::Hip Fractures
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Orthopedic Procedures::Fracture Fixation::Fracture Fixation, Internal
dc.subject
ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Equipment and Supplies::Prostheses and Implants::Internal Fixators::Bone Screws
dc.subject
ENFERMEDADES::heridas y lesiones::fracturas óseas::fracturas periprotésicas
dc.subject
Otros calificadores::Otros calificadores::Otros calificadores::/cirugía
dc.subject
ENFERMEDADES::heridas y lesiones::fracturas óseas::fracturas del fémur::fracturas de cadera
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos ortopédicos::fijación de fractura::fijación interna de fractura
dc.subject
TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::equipos y suministros::prótesis e implantes::fijadores internos::tornillos óseos
dc.title
“Close to the tip, with little bone to grip”: stabilizing two periprosthetic proximal femur fractures above a distal femur megaprosthesis using a combination of DHS and 3.5 mm screws
dc.type
info:eu-repo/semantics/article
dc.type
info:eu-repo/semantics/publishedVersion
