Overlapping intramedullary nailing after failed minimally invasive locked plating for osteoporotic distal femur fractures--Report of 2 cases.


Journal Article

Minimally invasive plate osteosynthesis (MIPO) using a locking plate has been widely used for distal femur fractures in the elderly with osteoporosis and yielded favourable results. However, implant failure and subsequent periplate fracture have still occurred owing to the controversy of concepts regarding locked plating. The treatment after failed MIPO in elderly patients is very challenging and has been not yet addressed definitely in the literature, although several options can be considered. We report the successful outcomes of two cases treated with overlapping intramedullary (IM) nailing for implant failure and periplate fracture after MIPO for osteoporotic distal femur fracture, along with simple tips of distal interlocking of IM nail.

Full Text

Cited Authors

  • Yoo, J-H; Kim, S-W; Kwak, Y-H; Kim, H-J

Published Date

  • January 16, 2015

Published In

Volume / Issue

  • 46 / 6

Start / End Page

  • 1174 - 1177

PubMed ID

  • 25624271

Pubmed Central ID

  • 25624271

Electronic International Standard Serial Number (EISSN)

  • 1879-0267

International Standard Serial Number (ISSN)

  • 0020-1383

Digital Object Identifier (DOI)

  • 10.1016/j.injury.2015.01.011


  • eng