Periprosthetic Fracture Fixation in Ankylosing Spondylitis: A Surgical Challenge in a Stiffened Skeleton

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Vol 06- Issue 1 | January 2025 | page: 26-29 | Soumitesh Sibananda Das, Nirmal Chandra Mohapatra, Rajesh Rana, Eshaan Mishra

DOI: https://doi.org/10.13107/ojot.2025.v06.i01.70

Received 01/04/2024; Reviewed 29/4/2024; Accepted 27/10/2024; Published 10/01/2025

Authors: Soumitesh Sibananda Das [1], Nirmal Chandra Mohapatra [1], Rajesh Rana [1], Eshaan Mishra [1]

[1] Department of Orthopaedics, Srirama Chandra Bhanja Medical College and Hospital,753007, Cuttack, Odisha, India

 

Address of Correspondence

Dr Soumitesh Sibananda Das,
Department of Orthopaedics, Srirama Chandra Bhanja Medical College and Hospital,753007, Cuttack, Odisha, India
Email: soumiteshdas@gmail.com

Abstract

Periprosthetic femoral fractures are challenging complications following total hip arthroplasty, especially in patients with ankylosing spondylitis due to altered biomechanics and compromised bone quality. We report a 37-year-old male with a history of bilateral total hip replacement (13 years prior) for ankylosed hips, who presented after a motorcycle fall with a right Vancouver type B1 periprosthetic femoral fracture. He was successfully managed with open reduction and internal fixation using a reversed contralateral distal femur anatomical locking plate augmented with cerclage wire. At six-month follow-up, the fracture had united, resulting in an excellent functional outcome. This case highlights the importance of accurate classification, stable fixation, and appropriate implant selection in complex periprosthetic settings.
Keywords: Periprosthetic fracture, Ankylosing spondylitis, Vancouver B1, Locking plate, Cerclage wire.

References

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3. Lindahl H. Epidemiology of periprosthetic femur fracture around a total hip arthroplasty. Injury. 2007;38:651–4. SpringerLink
4. Kulkarni SL, Mannual S, Daragad M, Kumar A. Vancouver type B1 periprosthetic fracture managed with locked compression plate: a case report. Int J Case Rep Orthop. 2020;2(2):64–67. orthocasereports.com
5. Locking plate fixation for Vancouver B1 periprosthetic femoral fractures: a critical analysis. J Orthop Sci. 2013. PubMed
6. Rastogi D, Dwivedi MK, Singh S, Ullah SW. Management of Vancouver type B1 periprosthetic femoral shaft fracture using reversed contralateral distal femur locking plate. Natl J Clin Orthop. 2018. orthoresearchjournal.com
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How to Cite this Article: Das SS, Mohapatra NC, Rana R, Mishra E. Periprosthetic Fracture Fixation in Ankylosing Spondylitis: A Surgical Challenge in a Stiffened Skeleton. The Odisha Journal of Orthopaedics and Trauma| January 2025; 06;01:26-29.

https://doi.org/10.13107/ojot.2025.v06.i01.70

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From the Editor’s Desk

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Vol 06 Issue 1 | January 2025 | page: 01 | Satya Ranjan Patra

DOI: https://doi.org/10.13107/ojot.2025.v06.i01.60

Authors: Satya Ranjan Patra [1]

[1] Department of Orthopaedics, Health Village Hospital, Bhubaneswar, India.

Address of Correspondence

Dr. Satya Ranjan Patra
Chief Consultant, Department of Orthopaedics, Health Village Hospital, Bhubaneswar, India.
Email: ojot.editor@gmail.com, drsrpatra@healthvillagehospital.com

Editorial

Odisha Journal of Orthopaedics and Trauma (OJOT), 2025 Issue

The 2025 issue of the Odisha Journal of Orthopaedics and Trauma (OJOT) arrives during a landmark year for our fraternity. As we celebrate the Golden Jubilee of the Odisha Orthopaedic Association (OOA), we reflect on fifty years of surgical excellence, mentorship, and the enduring spirit of service that has defined orthopaedics in Odisha since 1975.

Fifty Years of Clinical Legacy

Half a century ago, the OOA began as a vision to unite orthopaedic surgeons across our state. Today, we stand as a robust professional body. While our clinical skills have reached global standards—from complex trauma management to advanced subspecialty care—the documentation of this work remains our next great frontier. This 50th-anniversary issue is not just a celebration of where we have been, but a call to action for where we must go.

Addressing the Academic Challenge

It is no secret that maintaining a steady stream of high-quality, original research is a challenge for regional journals. However, we are currently witnessing a significant shift in our institutional landscape. With a substantial increase in the number of Postgraduates (PGs) and dedicated faculty members across the state, we are sitting on a vast, untapped reservoir of clinical data and intellectual energy.

The editorial board is optimistic that this growth in our academic workforce will lead to a “culture of publication.” We urge our faculty and residents to move beyond simple documentation and embrace rigorous clinical audits and prospective studies. The “Odisha experience” in orthopaedics is unique and valuable; it deserves to be shared with the wider scientific world through the pages of OJOT.

Looking Toward the Next Decade

As we celebrate our Golden Jubilee, our focus must remain on the quality and integrity of our scientific output. We are committed to supporting our young researchers through better mentorship in methodology and writing. By channelling the energy of our expanding academic community, we can ensure that OJOT evolves from a regional record into a highly cited, authoritative journal.

A Shared Responsibility

We thank the authors who have contributed their work to this milestone edition. Your commitment is the lifeblood of this journal. We also extend our gratitude to the pioneers of the OOA whose legacy we honor this year.

Let this 50th-anniversary issue serve as a turning point—a moment where we commit to matching our renowned clinical expertise with equally rigorous academic scholarship

Dr Satya Ranjan Patra
Editor-in-Chief
The Odisha Journal of Orthopaedics and Trauma
Golden Jubilee Edition, 2025
Email: ojot.editor@gmail.com, drsrpatra@healthvillagehospital.com

How to Cite this Article: Patra SR | From the Editor’s Desk | The Odisha Journal of Orthopaedics and Trauma | January 2025; 06;01: 01 | https://doi.org/10.13107/ojot.2025.v06.i01.60

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