{"id":2027,"date":"2021-01-06T21:32:51","date_gmt":"2021-01-06T20:32:51","guid":{"rendered":"https:\/\/www.sifeitalia.org\/?p=2027"},"modified":"2021-01-06T21:40:37","modified_gmt":"2021-01-06T20:40:37","slug":"ilizarov-external-fixation-for-a-periprosthetic-tibial-fracture-in-severe-osteoporosis-a-case-report","status":"publish","type":"post","link":"https:\/\/www.sifeitalia.org\/index.php\/ilizarov-external-fixation-for-a-periprosthetic-tibial-fracture-in-severe-osteoporosis-a-case-report\/","title":{"rendered":"Ilizarov external fixation for a periprosthetic tibial fracture in severe osteoporosis: a case report"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;]<div id=\"ultimate-heading-69416a13d7d54ec02\" class=\"uvc-heading ult-adjust-bottom-margin ultimate-heading-69416a13d7d54ec02 uvc-9946  uvc-heading-default-font-sizes\" data-hspacer=\"no_spacer\"  data-halign=\"left\" style=\"text-align:left\"><div class=\"uvc-heading-spacer no_spacer\" style=\"top\"><\/div><div class=\"uvc-sub-heading ult-responsive\"  data-ultimate-target='.uvc-heading.ultimate-heading-69416a13d7d54ec02 .uvc-sub-heading '  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  style=\"font-weight:normal;\">Koji Nozaka 1, Naohisa Miyakoshi 2, Takeshi Sato 2, Yoichi Shimada 2<\/div><\/div>[\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;]<div class=\" ubtn-ctn-left \"><a class=\"ubtn-link ult-adjust-bottom-margin ubtn-left ubtn-normal \" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32131797\/\" target=\"_blank\" rel=\"noopener\" ><button type=\"button\" id=\"ubtn-3323\"  class=\"ubtn ult-adjust-bottom-margin ult-responsive ubtn-normal ubtn-no-hover-bg  none  ubtn-left   tooltip-6a13d7d54ec2f\"  data-hover=\"\" data-border-color=\"\" data-bg=\"#dd9933\" data-hover-bg=\"\" data-border-hover=\"\" data-shadow-hover=\"\" data-shadow-click=\"none\" data-shadow=\"\" data-shd-shadow=\"\"  data-ultimate-target='#ubtn-3323'  data-responsive-json-new='{\"font-size\":\"\",\"line-height\":\"\"}'  style=\"font-weight:normal;border:none;background: #dd9933;color: #ffffff;\"><span class=\"ubtn-hover\" style=\"background-color:\"><\/span><span class=\"ubtn-data ubtn-text \" >Leggi l&#039;articolo completo<\/span><\/button><\/a><\/div>[\/vc_column_inner][\/vc_row_inner][vc_empty_space]<blockquote class=\"text-normal shortcode-blockquote\"><p><strong>Cosa avreste fatto in questo caso. Paziente diabetica, con artrite reumatoide, osteoporosi da cortisonici, insufficienza renale e cardiaca?<\/strong><\/p>\n<p>Personalmente, considerata anche la possibilit\u00e0 di mobilizzazione della protesi avrei fatto una semplice fissazione a ponte con concessione del carico passando dopo un mese e mezzo ad una ginocchiera articolata. La frattura metafisaria in genere guarisce rapidamente. In seguito avrei valutato l\u2019opportunit\u00e0 di sostituire il piatto tibiale protesico sulla base della clinica. Il rischio di infezione alla protesi credo comunque sia solo teorico. Nella mia esperienza ho recentemente trattato con successo una pseudoartrosi gi\u00e0 infetta di tibia distalmente ad una protesi di ginocchio da revisione con stelo lungo con fissatore tipo Ilizarov. La fissazione periprotesica non ha dato alcun problema di infezione secondaria pur con la mobilizzazione di fili di K e fiches periprotesici (valutazione avvenuta alla rimozione). Ho trattato una infezione superficiale in tramite di filo di K periprotesico con la rimozione dello stesso ed antibiotici empirici.<\/p>\n<p>Quale \u00e8 la vostra esperienza?<br \/>\nLuigi Lovisetti<\/p>\n<\/blockquote>[\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][\/vc_column_inner][\/vc_row_inner][vc_empty_space][\/vc_column][\/vc_row]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[13],"tags":[],"class_list":["post-2027","post","type-post","status-publish","format-standard","hentry","category-letture","category-13","description-off"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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