Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
We report two cases of implant removal failure following internal fixation of femoral neck fractures using the Prima Hip Screw Side Plate (PHS-SP) system. Case 1 involved an 80-year-old woman with stripped screw heads, which prevented standard screw removal. The femoral neck was osteotomized, and the screws were severed to allow removal of the plate. Case 2 involved a 50-year-old man in whom a screw was firmly lodged in the barrel of the implant, making extraction impossible. The protruding screw was excised, and a second operation was later performed to cut the femoral neck and remove the implant. Conclusion: In both cases, implant removal required osteotomy of the femoral neck and mechanical destruction of the screws. These cases highlight the potential for implant removal failure in locking plate systems, and the importance of preoperative planning and patient counseling.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12281548 | PMC |
| http://dx.doi.org/10.1016/j.tcr.2025.101217 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Hip Hemiarthroplasty vs Total Hip Arthroplasty for Femoral Neck Fractures: Reverse Fragility of Reoperation Rates in Randomized Controlled Trials.
Arthroplast Today
October 2025
Department of Orthopedic Surgery, Tufts Medical Center, Boston, MA, USA.
Background: Total hip arthroplasty (THA) has theoretical advantages and disadvantages over hemiarthroplasty for femoral neck fractures. Numerous studies have suggested equivalent reoperation rates between the procedures. The purpose of this study was to use the reverse fragility index (RFI) to evaluate the statistical robustness of randomized controlled trials (RCTs) reporting nonsignificant differences in reoperation rates between hip hemiarthroplasty and THA for femoral neck fractures.
View Article and Find Full Text PDFApplication of headless cannulated compression screws for treatment of Delbet-Colonna II and III femoral neck fractures in children.
Front Pediatr
August 2025
Department of Orthopedics, The Second Hospital of Jilin University, Changchun, China.
Purpose: Femoral neck fractures are clinically rare and are associated with a high risk of complications in children. Traditional internal fixation implants such as Kirschner wires and partial-thread cannulated screws (PTCS) have complications such as screw withdrawal and internal fixation failure. To address this problem, in this study we investigated the effectiveness of headless cannulated compression screws (HCCS) in the treatment of femoral neck fractures in children patients.
View Article and Find Full Text PDFQuantitative biomechanical analysis of fracture patterns in ipsilateral femoral neck and shaft fractures: an in-silico study.
Front Bioeng Biotechnol
August 2025
Department of Orthopaedics, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Introduction: Ipsilateral femoral neck and shaft fractures (IFN-SFs) caused by high-energy trauma pose a significant risk of complications related to bone healing. Prompt identification of fracture types and maintenance of fracture fixation stability can mitigate this risk. This study employed finite element analysis to evaluate biomechanical parameters for the stability of fixation in IFN-SFs and quantify differences in biomechanical stability among various fracture types.
View Article and Find Full Text PDFEnhanced recovery following neck of femur fractures - improving outcomes : a survey of current perioperative practice.
Bone Jt Open
September 2025
School of Medicine, University of Nottingham, Nottingham, UK.
Aims: The number of hip fractures is increasing, with significant mortality and morbidity, particularly among frail and comorbid patients. Enhanced recovery after surgery (ERAS) pathways have proven effective in elective orthopaedics, but this has not been investigated in people with hip fractures. This study aimed to identify current perioperative practice and develop a cohesive ERAS pathway tailored for hip fracture patients, to standardize and optimize care.
View Article and Find Full Text PDFFractures are Highly Correlated with Bone Density and Inversely Correlated with Bone Turnover Markers in Autosomal Dominant Osteopetrosis.
J Bone Miner Res
September 2025
Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States.
Autosomal Dominant Osteopetrosis (ADO) is a rare, osteosclerotic disorder usually caused by missense variants in the CLCN7 gene, resulting in impaired osteoclastic bone resorption. Penetrance is incomplete and disease severity varies widely, even among relatives within the same family. Although ADO can cause visual loss, osteonecrosis, osteomyelitis, and bone marrow failure, the most common complication of ADO is fracture.
View Article and Find Full Text PDF