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- Title
Treatment of Vancouver type B2 periprosthetic femoral fractures.
- Authors
Haasper, Carl; Enayatollahi, Mohammad; Gehrke, Thorsten; Enayatollahi, Mohammad Ali
- Abstract
<bold>Purpose: </bold>Stem loosening in both cemented and uncemented total hip arthroplasty is the hallmark of the Vancouver type B2 classification of periprosthetic hip fractures.<bold>Methods: </bold>We discuss the technique we use at our institution for treating these fractures.<bold>Results: </bold>Periprosthetic femoral-shaft fractures are associated with a relatively high mortality rate, approximating that of patients with hip fractures. Outcomes are directly associated with early mobilisation and construct stability.<bold>Conclusions: </bold>We recommend performing the procedure only when the surgeon is proficient in revision hip surgery and trauma care. A well-selected portfolio of different stem designs and an array of osteosynthesis devices should be available, as well.
- Subjects
ALGORITHMS; FEMUR injuries; FRACTURE fixation; BONE fractures; COMPLICATIONS of prosthesis; REOPERATION; TOTAL hip replacement
- Publication
International Orthopaedics, 2015, Vol 39, Issue 10, p1989
- ISSN
0341-2695
- Publication type
journal article
- DOI
10.1007/s00264-015-2959-4