Abstract
Objective: The goal of this retrospective study is to discuss a relatively new group of fractures, which appeared in relation to progress and results of modern musculoskeletal traumatology, and to contribute to their ma-nagement based on the literature and our own expe-riences. Materials and method: The authors summarize the results of rare literary references about this fracture type and present their own experience.
There were 26 patients with peri-implant fractures treated at a Ge- neral university hospital in Prague between 2009 and 2014. All patients were treated surgically.
They demonstrate in 5 cases-reports some treatment possibilities. Results: In accordance with the literature, the surgical treatment option has been chosen in all patients.
The following techniques were used: bridging poly-axial plate; implant removal and fracture stabilization with an appropriate nail; nailing through the original endo-prosthesis, removal of the original implant and replacement with a longer variant. As complications we noted: 2x superficial infection,x malposition (1x) and 1x deep venous thrombosis with successive pulmonary embolization.
Other complication described in literature (deep wound infection or non-union) did not appear in our series. Conclusion: Peri-implant and peri-prosthetic fractures are a relatively new problems in traumatology.
Treatment of this fracture type frequently requires new procedures and the use of sophisticated implants on high technological level.