THE BRIDGING NAIL IN PERIPROSTHETICFRACTURES OF THE HIP

Incidence, biomechanics, histology

and clinical outcomes

Rutger Gerard Zuurmond

This thesis was financially supported by: Biomet Nederland BV, NederlandseOrthopedische Vereniging, Annafonds, Arthrex Nederland BV, Bauerfeind,Link Nederland, Smith & Nephew Nederland BV, Stryker Nederland, Synthes,Tornier, Zimmer Netherlands.

Printed by:Schrijen-Lippertz-Huntjens

Published by:D&L graphics

Cover:D&L graphicswww.dlgraphics.nl

Illustrations:John DerwallD&L graphics

Thesis University of Groningen, the Netherlands with ref. with summaryin Dutch.

ISBN: 978-90-367-3455-4

Copyright 2007 by R.G. ZuurmondAll rights reserved. No part of this publication may be reproduced ortransmitted in any form or by any means, electronic or mechanical,including photography, recording or any information storage or retrievalsystem, without prior written permission of the copyright owner.All published papers are reprinted with permission.

RIJKSUNIVERSITEIT GRONINGEN

THE BRIDGING NAIL IN PERIPROSTHETICFRACTURES OF THE HIP

Incidence, biomechanics, histology

and clinical outcomes

Proefschrift

ter verkrijging van het doctoraat in deMedische Wetenschappen

aan de Rijksuniversiteit Groningenop gezag van de

Rector Magnificus, dr. F. Zwarts,in het openbaar te verdedigen op

woensdag 25 juni 2008om 13.15 uur

door

Rutger Gerard Zuurmondgeboren op 11 mei 1976

te Zaanstad

Promotor: prof. dr. S.K. Bulstra

Copromotores: dr. A.D. Verburgdr. P. Pilot

Beoordelingscommissie: prof. dr. H.J. ten Duisprof. dr. A. van Kampenprof. dr. R.G. Pll

Paranimfen: drs. P.A. Stolarczykdrs. H.B. Ettema

Voor mijn ouders

Aan Karen, Laura en Eveline

Contents

Contents

Chapter 1 Introduction 9

Chapter 2 Periprosthetic fractures; 17an overview of the literature

Chapter 3 Incidence of periprosthetic fractures in The Netherlands; 33A survey of hospital admissions

Chapter 4 Periprosthetic femoral fractures in the Netherlands; 43an inventory of Dutch hospitals

Chapter 5 High incidence of complications and poor 55patient outcome in the operative treatmentof periprosthetic femoral fractures.An analysis of 71 cases.

Chapter 6 Retrograde Bridging nail in periprosthetic 71fracture treatment allows direct weight bearing.A biomechanical analysis

Chapter 7 Retrograde bridging nailing of periprosthetic 83femoral fractures

Chapter 8 A less invasive salvage procedure for fractures 95below intramedullary nails of the proximal femur

Chapter 9 No significant corrosion after Bridging nail 103osteosynthesis of a periprosthetic fractured femur;a retrieval report

Chapter 10 General discussion 113

Summary 123

Samenvatting 131

Dankwoord 139

Curriculum Vitae 145