Fractures on osteosynthesis material: How should they be managed?

Charafeddine Elkassimi; Foad Lamnouar; Abdessamad Rajaalah; Mohamed Bouhouch; Abderrahim Rafaoui; Abdeljabbar Messoudi; Mohammed Rahmi; Mohammed Rafai

Article Details

Fractures on osteosynthesis material: How should they be managed?

Authors:

Charafeddine Elkassimi | Foad Lamnouar | Abdessamad Rajaalah | Mohamed Bouhouch | Abderrahim Rafaoui | Abdeljabbar Messoudi | Mohammed Rahmi | Mohammed Rafai

Publisher:

Revue Marocaine de Chirurgie Orthopédique et Traumatologique

Journal:

Revue Marocaine de Chirurgie Orthopédique et Traumatologique Issue 108, pp.28-33

Document Type:

Article

Publication Date:

3/2025

Document Language:

French

Document ID (Org No.):

2001849449

pISSN:

3119-6152

Keywords:

Abstract:

 The epidemiological and clinical aspects vary according to several parameters: the type of osteosynthesis device, the bone segment affected, and the nature of the trauma. We conducted a retrospective study of 8 cases of osteosynthesis fractures hospitalized between January 1, 2015 and May 10, 2023. The mean time between treatment of the initial fracture and the occurrence of the osteosynthesis fracture was 3 years and 10 months. The most frequent fracture site was the femur (75% of cases), followed by the humerus (12.5%) and clavicle (12.5%). Peri-implant fractures accounted for 75% of the cases, with hardware removal accounting for 25%. Four fractures occurred on bone previously treated with ECM, and four on screw-retained plates.Revision was by centromedullary nailing in 5 patients, followed by screw-plate in 3.There are 3 types of etiological factor in material fractures, and they are most often interrelated in the same patient: patient-related factors, fracture-related factors and material-related factors.In the absence of a validated classification, the management of these fractures depends essentially on the surgeon's experience, and must be adapted to each individual situation, given the polymorphism of these fractures.

Article Details

Fractures on osteosynthesis material: How should they be managed?

Authors:

Charafeddine Elkassimi | Foad Lamnouar | Abdessamad Rajaalah | Mohamed Bouhouch | Abderrahim Rafaoui | Abdeljabbar Messoudi | Mohammed Rahmi | Mohammed Rafai

Publisher:

Revue Marocaine de Chirurgie Orthopédique et Traumatologique

Journal:

Revue Marocaine de Chirurgie Orthopédique et Traumatologique Issue 108, pp.28-33

Document Type:

Article

Publication Date:

3/2025

Document Language:

French

Document ID (Org No.):

2001849449

pISSN:

3119-6152

Fracture peri-implant

defaillance osteosynthese

pseudarthrose

prise en charge

Peri-implant fracture

osteosynthesis failure

pseudarthrosis

management

Issues

Article Details

Authors: Charafeddine Elkassimi | Foad Lamnouar | Abdessamad Rajaalah | Mohamed Bouhouch | Abderrahim Rafaoui | Abdeljabbar Messoudi | Mohammed Rahmi | Mohammed Rafai

Publisher: Revue Marocaine de Chirurgie Orthopédique et Traumatologique

Journal: Revue Marocaine de Chirurgie Orthopédique et Traumatologique Issue 108, pp.28-33

Document Type: Article

Publication Date: 3/2025

Document Language: French

Document ID (Org No.): 2001849449

pISSN: 3119-6152

Issues

Authors:

Charafeddine Elkassimi | Foad Lamnouar | Abdessamad Rajaalah | Mohamed Bouhouch | Abderrahim Rafaoui | Abdeljabbar Messoudi | Mohammed Rahmi | Mohammed Rafai

Publisher:

Revue Marocaine de Chirurgie Orthopédique et Traumatologique

Journal:

Revue Marocaine de Chirurgie Orthopédique et Traumatologique Issue 108, pp.28-33

Document Type:

Article

Publication Date:

3/2025

Document Language:

French

Document ID (Org No.):

2001849449

pISSN:

3119-6152