A Case Report of a Symptomatic Atrophy and Osteonecrosis of the Femoral Diaphysis In-duced by Internal Plate Fixation of a Periprosthetic Fracture
When not strictly applied as an internal fixator at a distance from the bone, the plate model used in this case may disturb periosteal blood flow, causing osteonecrosis. Furthermore, high bending rigidity of the plate-bone construct may lead to stress shielding and atrophy. Design and mechanical properties of a plate are relevant in fracture healing.
Authors
- Emanuel Gautier (ORCID: https://orcid.org/0000-0003-2876-7986)
- Christoph Meier (ORCID: https://orcid.org/0000-0001-6944-9648)
- Hanna Wellauer (ORCID: https://orcid.org/0000-0003-2020-9947)
- Bernd Klaeser (ORCID: https://orcid.org/0000-0002-4415-4031)
- Peter M. Wahl (ORCID: https://orcid.org/0000-0002-8895-8621)
- Nicolas Meyer
Institutions
- Kantonsspital Winterthur (CH)
- Fribourg Development Agency (CH)
Publication Details
- Journal
- Journal of Orthopaedic Case Reports
- Published
- 2025-01-01
- DOI
- https://doi.org/10.13107/jocr.2025.v15.i11.6358
- Primary Topic
- Hip and Femur Fractures
- Type
- article
- Field-Weighted Citation Impact
- 0.00