Re-Fracture as Impact of Rigid Implant and Bone Osteoporosis: A Case Report
Background: The increasing life expectancy of the world population associated with osteopenia and osteoporosis leads to low-energy fractures, especially in the lower limb. The overture of locking plates has widened the area of close fracture fixation, and it is essential to justify and optimize thei...
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Universitas Airlangga
2022-04-01
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| Series: | Journal Orthopaedi and Traumatology Surabaya |
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| Online Access: | https://e-journal.unair.ac.id/JOINTS/article/view/32712 |
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| author | Huda Fajar Arianto Yunus Basrewan |
| author_facet | Huda Fajar Arianto Yunus Basrewan |
| author_sort | Huda Fajar Arianto |
| collection | DOAJ |
| description | Background: The increasing life expectancy of the world population associated with osteopenia and osteoporosis leads to low-energy fractures, especially in the lower limb. The overture of locking plates has widened the area of close fracture fixation, and it is essential to justify and optimize their usage. This study aims to report the potential postoperative re-fracture after implant removal and as a consequence of bone osteoporosis.
Case report: We present a re-fracture of proximal femur case in 60 years old female after a trivial fall into her right femur. This patient underwent a removal implant surgery a week before in the same spot where she fell. The open surgery was made with the same incision, and we do the Open Reduction Internal Fixation for her.
Discussion: The major design of the fixation tool is to secure the fracture with less effect on native axial load stress from the whole bone. Stress shielding caused due to firm bone-implant results in its resorption. The bone degradation underneath gives rise to the plate's collapse, resulting in repeated bone breakage. Early discharge, continued weight-bearing training for proximal femur fractures were associated with speedy improvement in daily activities. The photodynamic polymer liquid was the latest technology for bone stabilization.
Conclusion: Rigid bone plates can cause stress shielding, and when the implants are removed, re-fracture easily happens. Therefore, discharge of patients quickly for weight-bearing training in proximal femur fractures was encouraged to promote better healing. |
| format | Article |
| id | doaj-art-f4e24c8f38cf446680eb07e4277bf1bd |
| institution | Kabale University |
| issn | 2722-712X 2460-8742 |
| language | English |
| publishDate | 2022-04-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Journal Orthopaedi and Traumatology Surabaya |
| spelling | doaj-art-f4e24c8f38cf446680eb07e4277bf1bd2025-02-12T07:28:21ZengUniversitas AirlanggaJournal Orthopaedi and Traumatology Surabaya2722-712X2460-87422022-04-01111283210.20473/joints.v11i1.2022.28-3226826Re-Fracture as Impact of Rigid Implant and Bone Osteoporosis: A Case ReportHuda Fajar Arianto0https://orcid.org/0000-0002-8916-2633Yunus Basrewan1https://orcid.org/0000-0001-7495-370XFaculty of Medicine, Hang Tuah University, Surabaya, IndonesiaDepartment of Orthopedic, Universitas Airlangga Hospital, Surabaya, IndonesiaBackground: The increasing life expectancy of the world population associated with osteopenia and osteoporosis leads to low-energy fractures, especially in the lower limb. The overture of locking plates has widened the area of close fracture fixation, and it is essential to justify and optimize their usage. This study aims to report the potential postoperative re-fracture after implant removal and as a consequence of bone osteoporosis. Case report: We present a re-fracture of proximal femur case in 60 years old female after a trivial fall into her right femur. This patient underwent a removal implant surgery a week before in the same spot where she fell. The open surgery was made with the same incision, and we do the Open Reduction Internal Fixation for her. Discussion: The major design of the fixation tool is to secure the fracture with less effect on native axial load stress from the whole bone. Stress shielding caused due to firm bone-implant results in its resorption. The bone degradation underneath gives rise to the plate's collapse, resulting in repeated bone breakage. Early discharge, continued weight-bearing training for proximal femur fractures were associated with speedy improvement in daily activities. The photodynamic polymer liquid was the latest technology for bone stabilization. Conclusion: Rigid bone plates can cause stress shielding, and when the implants are removed, re-fracture easily happens. Therefore, discharge of patients quickly for weight-bearing training in proximal femur fractures was encouraged to promote better healing.https://e-journal.unair.ac.id/JOINTS/article/view/32712fractureosteoporosisbone plateslife expectancy |
| spellingShingle | Huda Fajar Arianto Yunus Basrewan Re-Fracture as Impact of Rigid Implant and Bone Osteoporosis: A Case Report Journal Orthopaedi and Traumatology Surabaya fracture osteoporosis bone plates life expectancy |
| title | Re-Fracture as Impact of Rigid Implant and Bone Osteoporosis: A Case Report |
| title_full | Re-Fracture as Impact of Rigid Implant and Bone Osteoporosis: A Case Report |
| title_fullStr | Re-Fracture as Impact of Rigid Implant and Bone Osteoporosis: A Case Report |
| title_full_unstemmed | Re-Fracture as Impact of Rigid Implant and Bone Osteoporosis: A Case Report |
| title_short | Re-Fracture as Impact of Rigid Implant and Bone Osteoporosis: A Case Report |
| title_sort | re fracture as impact of rigid implant and bone osteoporosis a case report |
| topic | fracture osteoporosis bone plates life expectancy |
| url | https://e-journal.unair.ac.id/JOINTS/article/view/32712 |
| work_keys_str_mv | AT hudafajararianto refractureasimpactofrigidimplantandboneosteoporosisacasereport AT yunusbasrewan refractureasimpactofrigidimplantandboneosteoporosisacasereport |