Periprosthetic fractures with extensive bone loss treated with onlay strut allografts.

Abstract:

:We reviewed a consecutive series of 19 patients with comminuted periprosthetic fractures, loosening of the femoral stem (Vancouver type B3) and significant loss of bone stock (Paprosky type III and IV). Sixteen porous-coated long stems and three Exeter stems, all with impaction grafting, were used. Large femoral onlay strut allografts were applied to maintain fracture reduction and improve stability. There was one early re-fracture at the tip of the femoral stem. Eighteen fractures healed without deformity and shortening. At the last follow-up at mean 3.7 (2.0-7.5) years, the mean Harris hip score was 76.4 (57.5-92.0). There was ingrowth of all strut grafts and significant augmentation of periprosthetic bone.

journal_name

Int Orthop

authors

Barden B,von Knoch M,Fitzek JG,Löer F

doi

10.1007/s00264-002-0423-8

keywords:

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

164-7

issue

3

eissn

0341-2695

issn

1432-5195

journal_volume

27

pub_type

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