O2056 RESULTS OF DAL MILES PLATING IN PERI-PROSTHETIC FRACTURES

Abstract

Introduction: The incidence of Peri-prosthetic fractures is about 1% following Lower limb arthroplasty. The management of these fractures is difþcult,complex,challenging and controversial. Aim of Study: To study the results of Dal- Miles Plating system in Peri-prosthetic fractures. To þnd the difference, if any in the outcome of Transverse vs. Spiral fractures. Material and Methods: 13 patients, who were treated with Dal-Miles plating for periprosthetic fractures in last 4 years in our hospital, were reviewed. There were 7 females and 6 males. Average age of the patients was 73.8 years. Fractures were classiþed according to Vancouver classiþcation. Fractures were also classiþed according to their pattern into Transverse and Spiral Fractures. Results: There was high rate of complications during the postoperative period with half the patients having some complication. (Implant failure-3, malunion-1, Infection-2, Fracture distal to plate-3). All the patients who had Implant failure had transverse type of Fracture. No patient with spiral type fracture had non-union. Conclusions: Treatment of Peri-prosthetic fractures with Dal-Miles Plating is complicated and associated with high rate of complication. Transverse type fractures have high rate of failure (50% in our study) following þxation with Dal-Miles Plating system.