In the present case, a complex, more fragmentary femur fracture was treated very rigidly.The 85-year-old patient also has influencing comorbities (hta, parkinson).In addition, due to age, it must be assumed that it was no longer possible to control the partial stress of the affected extremity.Clinical expert opinion (university clinic giessen).The supply has always been carried out correctly.From the expert's point of view, too stiff (bridging too short in the area of the fracture zone).The cause of the failure, however, is the lack of healing, which can be clearly seen on the available x-ray images.For example, 6 months after the plate was inserted (post-op), no medial callus formation can be seen on the large spiral fragment.Failure to heal the fracture in combination with a very rigid osteosynthesis may have been the cause of the fracture event.In contrast to joint implants, osteosynthesis plates are only designed for a limited life under load.The lack of bony consolidation thus extended the period of implant loading.This is a late report due to a corrective action.
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