Periprosthetic fractures of the proximal femur: beyond the Vancouver classification

The majority of periprosthetic femoral fractures are treated surgically. Surgical treatment may be revision only, revision in combination with open reduction and internal fixation (ORIF), or ORIF only. The treatment decision is dependent on whether the stem is loose or not, but loose stems are not a...

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Autores principales: Stoffel, Karl, Horn, Tamara, Zagra, Luigi, Mueller, Michael, Perka, Carsten, Eckardt, Henrik
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2020
Materias:
Hip
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7407870/
https://www.ncbi.nlm.nih.gov/pubmed/32818072
http://dx.doi.org/10.1302/2058-5241.5.190086
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author Stoffel, Karl
Horn, Tamara
Zagra, Luigi
Mueller, Michael
Perka, Carsten
Eckardt, Henrik
author_facet Stoffel, Karl
Horn, Tamara
Zagra, Luigi
Mueller, Michael
Perka, Carsten
Eckardt, Henrik
author_sort Stoffel, Karl
collection PubMed
description The majority of periprosthetic femoral fractures are treated surgically. Surgical treatment may be revision only, revision in combination with open reduction and internal fixation (ORIF), or ORIF only. The treatment decision is dependent on whether the stem is loose or not, but loose stems are not always identified, resulting in unsatisfactory treatments. This article presents an algorithmic approach to identifying loose stems around proximal femoral periprosthetic fractures, taking patient history, stem design, and plain radiographs into consideration. This approach may help identifying loose stems and increase the probability of effective treatments. Cite this article: EFORT Open Rev 2020;5:449-456. DOI: 10.1302/2058-5241.5.190086
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spelling pubmed-74078702020-08-17 Periprosthetic fractures of the proximal femur: beyond the Vancouver classification Stoffel, Karl Horn, Tamara Zagra, Luigi Mueller, Michael Perka, Carsten Eckardt, Henrik EFORT Open Rev Hip The majority of periprosthetic femoral fractures are treated surgically. Surgical treatment may be revision only, revision in combination with open reduction and internal fixation (ORIF), or ORIF only. The treatment decision is dependent on whether the stem is loose or not, but loose stems are not always identified, resulting in unsatisfactory treatments. This article presents an algorithmic approach to identifying loose stems around proximal femoral periprosthetic fractures, taking patient history, stem design, and plain radiographs into consideration. This approach may help identifying loose stems and increase the probability of effective treatments. Cite this article: EFORT Open Rev 2020;5:449-456. DOI: 10.1302/2058-5241.5.190086 British Editorial Society of Bone and Joint Surgery 2020-08-01 /pmc/articles/PMC7407870/ /pubmed/32818072 http://dx.doi.org/10.1302/2058-5241.5.190086 Text en © 2020 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Hip
Stoffel, Karl
Horn, Tamara
Zagra, Luigi
Mueller, Michael
Perka, Carsten
Eckardt, Henrik
Periprosthetic fractures of the proximal femur: beyond the Vancouver classification
title Periprosthetic fractures of the proximal femur: beyond the Vancouver classification
title_full Periprosthetic fractures of the proximal femur: beyond the Vancouver classification
title_fullStr Periprosthetic fractures of the proximal femur: beyond the Vancouver classification
title_full_unstemmed Periprosthetic fractures of the proximal femur: beyond the Vancouver classification
title_short Periprosthetic fractures of the proximal femur: beyond the Vancouver classification
title_sort periprosthetic fractures of the proximal femur: beyond the vancouver classification
topic Hip
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7407870/
https://www.ncbi.nlm.nih.gov/pubmed/32818072
http://dx.doi.org/10.1302/2058-5241.5.190086
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