Periprosthetic femur fractures.

Abstract:

:Successful treatment of periprosthetic femur fractures, like all fractures, requires careful attention to understand the fracture pattern nuances, identifying and executing a rational treatment approach, and providing an appropriate postoperative recovery protocol. Unlike most other fractures, modification of standard techniques is often required to obtain a stable fixation construct, and there is a greater role for revision arthroplasty in the treatment of periprosthetic fractures. Optimal indications for surgical repair versus revision arthroplasty and optimal postoperative weight-bearing protocols remain uncertain. Reported outcomes for patients with periprosthetic femoral shaft fractures are generally good and are relatively consistent. Results for periprosthetic distal femur fractures, however, are less good and more inconsistent. Both periprosthetic femoral shaft and distal femur fractures are associated with relatively high mortality rates, approaching that of patients with hip fractures. This review should provide insight into the current solutions and challenges for the treatment of patients with periprosthetic femur fractures.

journal_name

J Orthop Trauma

authors

Ricci WM

doi

10.1097/BOT.0000000000000282

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

130-7

issue

3

eissn

0890-5339

issn

1531-2291

pii

00005131-201503000-00003

journal_volume

29

pub_type

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