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After the fixation failures of the PTFE shell were observed, the PTFE acetabular cups as well as the stems started to be fixed.
In the arthroplasty group, there were 2 dislocations; and in the plate-screw fixation group, there were 5 internal fixation failures.
Fixation failures are defined as lag-screw penetration or cut-out of the femoral head, breakage or loosening of the plate or nonunion of the fracture.
However, clinical fixation failures have been reported using this technique, and a supplemental long iliosacral or transsacral screw has been used.
Various complications of this technique have been described in the literature: nerve injury, misplaced screws, fixation failures, infection, and lack of posterior pelvic reduction [4, 5].
Number of screws, cortices and empty screw holes proximal and distal to the fracture, plate-span ratio (plate length divided by overall fracture length), plate-screw density (number of inserted screws divided by number of plate holes), fixation failures, delayed or nonunion, malalignment and leg length discrepancy were documented.
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What could be the reason for this fixation failure in spite of being supplemented by external fixator?
Osteoporosis is a risk factor for implant fixation failure.
We hypothesized that implant fixation failure is preceded by substantial peri-implant bone failure.
Fixation failure of glenoid components is the main cause of unsuccessful total shoulder arthroplasties.
In fact, it was suspected that cyclic loads applied by demanding patients could lead to fixation failure.
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