Carl Haasper1, Mohammad Ali Enayatollahi2, Thorsten Gehrke3. 1. HELIOS ENDO-Klinik, Holstenstrasse 2, 22767, Hamburg, Germany. carl.haasper@helios-kliniken.de. 2. Rothman Institute, Thomas Jefferson University, Philadelphia, PA, USA. 3. HELIOS ENDO-Klinik, Holstenstrasse 2, 22767, Hamburg, Germany.
Abstract
PURPOSE: Stem loosening in both cemented and uncemented total hip arthroplasty is the hallmark of the Vancouver type B2 classification of periprosthetic hip fractures. METHODS: We discuss the technique we use at our institution for treating these fractures. RESULTS: 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. CONCLUSIONS: 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.
PURPOSE: Stem loosening in both cemented and uncemented total hip arthroplasty is the hallmark of the Vancouver type B2 classification of periprosthetic hip fractures. METHODS: We discuss the technique we use at our institution for treating these fractures. RESULTS: 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. CONCLUSIONS: 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.
Entities:
Keywords:
Osteosynthesis; Periprosthetic hip fractures; Revision total hip arthroplasty; Vancouver classification
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