Locking compression plate fixation for periprosthetic femoral fracture

Abstract

OBJECTIVE: To introduce a method for fixation in periprosthetic fracture with locking compression plate (LCP). METHODS: During the surgery, a long 12-hole LCP was placed to the lateral side of the femur. Six holes of the plate were placed proximal to the main fracture line to make sure that there could be enough cortex units for rigid fixation of proximal fragments. Locking screws used except for the most proximal hole where a 4.5 mm screw was used instead. RESULTS: The patient was pain free at the fracture site one week after the surgery, and was able to walk with a cane 3 months after the surgery. Bone union was evident radiographically 3 months after the surgery. There was no loose signs around the stem. Six months after the surgery, the patient recovered full function without pain. CONCLUSION: In our experience from this case, LCP in treating periprosthetic fracture was easy and less time consuming, more over, extensive periosteal stripping could be avoided. LCP is a good choice in treating some periprosthetic fractures.