Incomplete, stable-like, peri-prosthetic Vancouver B fracture around an ha-coated stem. Is there a case for strategic thoughtful neglect?

The Periprosthetic fracture of the proximal femur is usually treated by internal fixation of the fracture or revision of the femoral stem depending on the characteristics of the fracture and stability of the implant. This case report shows an early periprosthetic fracture around an uncemented straig...

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Autores principales: Spina, Mauro, Scalvi, Andrea, Vacchiano, Andrea, Sandri, Andrea, Balsano, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890950/
https://www.ncbi.nlm.nih.gov/pubmed/31832533
http://dx.doi.org/10.1016/j.tcr.2019.100252
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author Spina, Mauro
Scalvi, Andrea
Vacchiano, Andrea
Sandri, Andrea
Balsano, Massimo
author_facet Spina, Mauro
Scalvi, Andrea
Vacchiano, Andrea
Sandri, Andrea
Balsano, Massimo
author_sort Spina, Mauro
collection PubMed
description The Periprosthetic fracture of the proximal femur is usually treated by internal fixation of the fracture or revision of the femoral stem depending on the characteristics of the fracture and stability of the implant. This case report shows an early periprosthetic fracture around an uncemented straight stem which is treated conservatively with an excellent clinical radiographic result and explains the biomechanics related to this non-operative choice. A conservative treatment of periprosthetic fracture is possible but only after a careful analysis of the fracture pattern, the characteristics of the prosthetic stem and the time elapsed from implanting the prosthesis to the fracture.
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spelling pubmed-68909502019-12-12 Incomplete, stable-like, peri-prosthetic Vancouver B fracture around an ha-coated stem. Is there a case for strategic thoughtful neglect? Spina, Mauro Scalvi, Andrea Vacchiano, Andrea Sandri, Andrea Balsano, Massimo Trauma Case Rep Case Report The Periprosthetic fracture of the proximal femur is usually treated by internal fixation of the fracture or revision of the femoral stem depending on the characteristics of the fracture and stability of the implant. This case report shows an early periprosthetic fracture around an uncemented straight stem which is treated conservatively with an excellent clinical radiographic result and explains the biomechanics related to this non-operative choice. A conservative treatment of periprosthetic fracture is possible but only after a careful analysis of the fracture pattern, the characteristics of the prosthetic stem and the time elapsed from implanting the prosthesis to the fracture. Elsevier 2019-11-27 /pmc/articles/PMC6890950/ /pubmed/31832533 http://dx.doi.org/10.1016/j.tcr.2019.100252 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Spina, Mauro
Scalvi, Andrea
Vacchiano, Andrea
Sandri, Andrea
Balsano, Massimo
Incomplete, stable-like, peri-prosthetic Vancouver B fracture around an ha-coated stem. Is there a case for strategic thoughtful neglect?
title Incomplete, stable-like, peri-prosthetic Vancouver B fracture around an ha-coated stem. Is there a case for strategic thoughtful neglect?
title_full Incomplete, stable-like, peri-prosthetic Vancouver B fracture around an ha-coated stem. Is there a case for strategic thoughtful neglect?
title_fullStr Incomplete, stable-like, peri-prosthetic Vancouver B fracture around an ha-coated stem. Is there a case for strategic thoughtful neglect?
title_full_unstemmed Incomplete, stable-like, peri-prosthetic Vancouver B fracture around an ha-coated stem. Is there a case for strategic thoughtful neglect?
title_short Incomplete, stable-like, peri-prosthetic Vancouver B fracture around an ha-coated stem. Is there a case for strategic thoughtful neglect?
title_sort incomplete, stable-like, peri-prosthetic vancouver b fracture around an ha-coated stem. is there a case for strategic thoughtful neglect?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6890950/
https://www.ncbi.nlm.nih.gov/pubmed/31832533
http://dx.doi.org/10.1016/j.tcr.2019.100252
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