Literature DB >> 30233962

Management of Vancouver Type-B2 and B3 Periprosthetic Femoral Fractures: Restoring Femoral Length via Preoperative Planning and Surgical Execution Using a Cementless, Tapered, Fluted Stem.

José A Rodriguez1, Zachary P Berliner2, Carlos A Williams2, Jonathan Robinson3, Matthew S Hepinstall2, H John Cooper4.   

Abstract

INTRODUCTION: Periprosthetic femoral fractures, which are likely to increase as the population ages and total hip arthroplasty becomes more prevalent1, can be effectively managed by restoring femoral length via preoperative planning and surgical execution using a cementless, tapered, fluted stem. STEP 1 PREOPERATIVE PLAN: Template the contralateral, uninjured side. STEP 2 TEMPLATE THE FRACTURED SIDE: Identify the ideal COR on the injured side and template the femoral stem. STEP 3 ESTABLISH DEPTH OF REAMING: Use stem templates to establish a reference point on the reamer for use intraoperatively, and identify the distance from that point to an identifiable distal landmark.
RESULTS: We report on 14 (12 Vancouver type-B2 and 2 Vancouver type-B3) periprosthetic femoral fractures treated with the described method15.

Entities:  

Year:  2017        PMID: 30233962      PMCID: PMC6132713          DOI: 10.2106/JBJS.ST.17.00007

Source DB:  PubMed          Journal:  JBJS Essent Surg Tech        ISSN: 2160-2204


  14 in total

Review 1.  Non-modular tapered fluted titanium stems in hip revision surgery: gaining attention.

Authors:  S Konan; D S Garbuz; B A Masri; C P Duncan
Journal:  Bone Joint J       Date:  2014-11       Impact factor: 5.082

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

Authors:  Daniel Neumann; Christoph Thaler; Ulrich Dorn
Journal:  Int Orthop       Date:  2011-10-09       Impact factor: 3.075

Review 3.  Fractures of the femur after hip replacement.

Authors:  C P Duncan; B A Masri
Journal:  Instr Course Lect       Date:  1995

4.  Incidence and Future Projections of Periprosthetic Femoral Fracture Following Primary Total Hip Arthroplasty: An Analysis of International Registry Data.

Authors:  Robert Pivec; Kimona Issa; Bhaveen H Kapadia; Jeffery J Cherian; Aditya V Maheshwari; Peter M Bonutti; Michael A Mont
Journal:  J Long Term Eff Med Implants       Date:  2015

5.  Outcome after operative treatment of Vancouver type B1 and C periprosthetic femoral fractures: open reduction and internal fixation versus revision arthroplasty.

Authors:  Helmut L Laurer; Sebastian Wutzler; Susann Possner; Emanuel V Geiger; André El Saman; Ingo Marzi; Johannes Frank
Journal:  Arch Orthop Trauma Surg       Date:  2011-02-18       Impact factor: 3.067

6.  Periprosthetic femoral fractures: outcome after treatment with LISS internal fixation or stem replacement in 36 patients.

Authors:  Michael Müller; Max Kääb; Stephan Tohtz; Norbert P Haas; Carsten Perka
Journal:  Acta Orthop Belg       Date:  2009-12       Impact factor: 0.500

7.  Tapered fluted titanium stems in the management of Vancouver B2 and B3 periprosthetic femoral fractures.

Authors:  Jacob T Munro; Donald S Garbuz; Bassam A Masri; Clive P Duncan
Journal:  Clin Orthop Relat Res       Date:  2014-02       Impact factor: 4.176

Review 8.  Periprosthetic fractures evaluation and treatment.

Authors:  Bassam A Masri; R M Dominic Meek; Clive P Duncan
Journal:  Clin Orthop Relat Res       Date:  2004-03       Impact factor: 4.176

9.  Treatment of Vancouver B3 periprosthetic femur fractures with a fluted tapered stem.

Authors:  Daniel J Berry
Journal:  Clin Orthop Relat Res       Date:  2003-12       Impact factor: 4.176

10.  Mortality after periprosthetic fracture of the femur.

Authors:  Timothy Bhattacharyya; Denis Chang; James B Meigs; Daniel M Estok; Henrik Malchau
Journal:  J Bone Joint Surg Am       Date:  2007-12       Impact factor: 5.284

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  1 in total

1.  The race for the classification of proximal periprosthetic femoral fractures : Vancouver vs Unified Classification System (UCS) - a systematic review.

Authors:  Clemens Schopper; Matthias Luger; Günter Hipmair; Bernhard Schauer; Tobias Gotterbarm; Antonio Klasan
Journal:  BMC Musculoskelet Disord       Date:  2022-03-23       Impact factor: 2.362

  1 in total

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