TY - JOUR A2 - Szepietowski, Jacek Cezary AU - Carta, Serafino AU - Fortina, Mattia AU - Riva, Alberto AU - Meccariello, Luigi AU - Manzi, Enrico AU - Di Giovanni, Antonio AU - Ferrata, Paolo PY - 2016 DA - 2016/11/20 TI - The Biological Metallic versus Metallic Solution in Treating Periprosthetic Femoral Fractures: Outcome Assessment SP - 2918735 VL - 2016 AB - Introduction. The periprosthetic fracture of the femur is, in order of frequency, the fourth leading cause (5.9%) of surgical revision. Our study aims to demonstrate how the grafting of bone splint betters the outcomes. Materials. We treated 15 periprosthetic femoral fractures divided into two groups: PS composed of 8 patients treated with plates and splints and PSS involving 7 patients treated only with plates. The evaluation criteria for the two groups during the clinical and radiological follow-up were the quality of life measured by the Short Form (36) Health Survey (SF-36), Harris Hip Score (HHS), Modified Cincinnati Rating System Questionnaire (MCRSQ), bone healing measured by the Radiographic Union Score (RUS), postoperative complications, and mortality. The evaluation endpoint was set at 24 months for both groups ( p < 0.05 ). Results. The surgery lasted an average of 124.5 minutes for the PS group and 112.6 minutes for the PSS. At 24 months all clinical and radiographic scores were p < 0.05 for the PS group. During follow-up 4 patients (2 in each group) died of causes not related to surgery. Conclusions. The use of the metal plate as opposed to cortical allogenic splint should be taken into consideration as a noteworthy point for periprosthetic femoral fractures. SN - 2356-6752 UR - https://doi.org/10.1155/2016/2918735 DO - 10.1155/2016/2918735 JF - Advances in Medicine PB - Hindawi Publishing Corporation KW - ER -