Open AccessBiomechanics of Periprosthetic Fixation: Plates, Nails, Cables, and Allografts
Author(s) -
Elizabeth B. Gausden,
David S. Wellman
Publication year - 2019
Publication title -
journal of orthopaedic trauma
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 121
eISSN - 1531-2291
pISSN - 0890-5339
DOI - 10.1097/bot.0000000000001569
Subject(s) - periprosthetic , medicine , intramedullary rod , biomechanics , fixation (population genetics) , prosthesis , orthodontics , orthopedic surgery , surgery , arthroplasty , anatomy , population , environmental health
Periprosthetic fractures (PPFs) present unique challenges to orthopaedic surgeons in terms of limited cortical fixation options, poor bone quality, cement mantles, and stress risers introduced from the prosthesis. Various fixation strategies have been used in PPFs including the use of intramedullary nails, locked plates, unicortical locking screws, cerclage wires and cables, double-plating techniques, and allograft struts. Here, we will review the biomechanics of various fixation strategies used in PPFs.