Management of a failed femoral plate in an obese patient: A case report
- Author:
Ren Yi Kow
;
Zamri Ab Rahman
;
Ruben Jaya Kumar
;
Zaharul Azri Mustapha@Zakaria
;
Chooi Leng Low
- Publication Type:Case Reports
- Keywords:
Implant failure;
intramedullary nail;
dynamic compression plate;
femur fracture;
obesity;
minimally invasive
- MeSH:
Obesity
- From:International e-Journal of Science, Medicine and Education
2017;11(1):39-42
- CountryMalaysia
- Language:English
-
Abstract:
Femoral nailing is the overall “gold standard” in
treating femoral shaft fractures. However, plate
osteosynthesis at the femoral shaft is still being done
in selected patients. We report a case of right femoral
implant failure after a broad limited contact dynamic
compression plate (LC-DCP) insertion and its
subsequent management using our minimally invasive
technique. Our technique is biologically compliant
as well as cosmetically friendly. We converted a loadbearing
implant into a load-sharing implant in view that
obesity is a significant predictive factor of non-union in a
femoral fracture treated with locking plate. The patient
subsequently recovered well with no complication.
- Full text:P020170525595418218391.pdf
