Management of Vancouver B2 and B3 femoral periprosthetic fractures using a modular cementless stem without allografting.

Abstract:

PURPOSE:We reviewed our experience with the management of B2 and B3 femoral periprosthetic fractures using a distally fixed modular femoral stem in 55 patients. METHODS:All periprosthetic fractures were managed immediately after injury without using allograft; 53 hips were available for a mean follow up of 67 months. RESULTS:All fractures united, and the mean Harris hip score at the last follow up was 72. Subsidence was noted in two patients (4%) within six months postoperatively and required revision surgery. One patient developed peroneal nerve palsy. Two hips dislocated and were managed by closed reduction. CONCLUSION:In these severe cases of periprosthetic fracture, the technique reviewed here proved to be reliable.

journal_name

Int Orthop

authors

Neumann D,Thaler C,Dorn U

doi

10.1007/s00264-011-1371-y

subject

Has Abstract

pub_date

2012-05-01 00:00:00

pages

1045-50

issue

5

eissn

0341-2695

issn

1432-5195

journal_volume

36

pub_type

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