William M. Ricci, MD
As the prevalence of periprosthetic femoral fractures has increased over the last decade, the complications associated with their treatment have been increasingly recognized. However, optimal management strategies remain unclear. The difficulty involved in the management of these fractures is evidenced by the array of treatment options described in the literature without a clear consensus regarding the most appropriate method. Contemporary fracture-fixation techniques that have focused on minimizing soft-tissue disruption and periosteal stripping have reduced the need for supplemental bone-grafting. In this video supplement to the JBJS article, William M. Ricci, M.D., of Washington University School of Medicine in St. Louis, MO., discusses and demonstrates his surgical technique of indirect fracture-reduction combined with fixation with a single lateral plate without the use of structural allograft, for the treatment of periprosthetic femoral shaft fracture about a stable intramedullary implant.
Material Covered
- Indications/Contraindications
- Pearls on Exposure
- Newer Fixation Options
- Benefits of Indirect Reduction
- Avoiding Complications
- Postoperative Protocol
See the Corresponding JBJS Article:
- William M. Ricci, Brett R. Bolhofner, Timothy Loftus, Christopher Cox, Scott Mitchell, and Joseph Borrelli, Jr.
- Indirect Reduction and Plate Fixation, without Grafting, for Periprosthetic Femoral Shaft Fractures About a Stable Intramedullary Implant
J. Bone Joint Surg. Am., Oct 2005; 87: 2240 – 2245 [Article]
- William M. Ricci, Brett R. Bolhofner, Timothy Loftus, Christopher Cox, Scott Mitchell, and Joseph Borrelli, Jr
- Indirect Reduction and Plate Fixation, without Grafting, for Periprosthetic Femoral Shaft Fractures About a Stable Intramedullary Implant: Surgical Technique
J. Bone Joint Surg. Am., Sep 2006; 88: 275-282. [Article]
Specifications
- Total Run Time: 22:00 minutes
- Catalog Number: 4069
- VJO Publication Date: September, 2005