None of the patients whose plate were removed had any report of
refracture up to 6 months after removal of plate (last follow up).
The unique advantages of unicortical LHS, which have been proven beneficial, include preservation of endosteal blood supply (Goh et al., 2009), simplification of the plating surgery, avoiding potential over drilling or oversized screws (Dona et al., 2004) and reducing the risk of
refracture after removal (Overturf et al., 2014 and Pater et al., 2014).
The patient who developed
refracture and treated with hemiarthroplasty was not excluded from the evaluation because he had fracture 3 months after removal of the fixator.
The full year plan for 2018 includes drilling 49 SLH production wells, minor workovers on existing wells and minor
refracture works.
Stress shielding produced by rigid plates can lead to an 8%
refracture rate after plate removal.
"The difficulty of treatment lies in the weak healing power at the fracture site, a tendency to
refracture after treatment, and the difficulty of stabilizing small osteoporotic bone fragments in small children.
However, PMMA has been reported to be associated with undesirable properties such as high setting temperature, leakage (7-10%), lung and distal emboli, lack of osseointegration, and significant stiffness mismatch with bone leading to subsequent adjacent fractures or even
refracture of the augmented vertebra [1].
Subsequent formation and progressive growth of pseudoaneurysm resulted in pressure on the medial femoral diaphysis with scalloping of the cortex and an increased risk of
refracture (Figure 3).
Sharma, "Role of stress reorientation in the success of
refracture treatments in tight gas sands," SPE Production and Operations, vol.
(5) report on 1049 patients with the overall complication rate of 18%; of the 245 patients in this group, the most common reasons for reoperation were nonunion (24%),
refracture (24%), aseptic loosening (21%), and recurrent dislocation (16%).
You don't want him to
refracture it and then end up with Fernando needing surgery, because a sixweek injury can then become a six-month injury."