Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes

The rising incidence of postoperative periprosthetic femoral fracture (PFF) presents a significant clinical and economic burden. A detailed understanding of risk factors is required in order to guide preventative strategies. Different femoral stems have unique characteristics and management strategi...

Descripción completa

Detalles Bibliográficos
Autores principales: Ramavath, Ashoklal, Lamb, Jonathan N., Palan, Jeya, Pandit, Hemant G., Jain, Sameer
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/PMC7528669/
https://www.ncbi.nlm.nih.gov/pubmed/33072408
http://dx.doi.org/10.1302/2058-5241.5.200003
_version_ 1783589306168770560
author Ramavath, Ashoklal
Lamb, Jonathan N.
Palan, Jeya
Pandit, Hemant G.
Jain, Sameer
author_facet Ramavath, Ashoklal
Lamb, Jonathan N.
Palan, Jeya
Pandit, Hemant G.
Jain, Sameer
author_sort Ramavath, Ashoklal
collection PubMed
description The rising incidence of postoperative periprosthetic femoral fracture (PFF) presents a significant clinical and economic burden. A detailed understanding of risk factors is required in order to guide preventative strategies. Different femoral stems have unique characteristics and management strategies must be tailored appropriately. Consensus regarding treatment of PFFs around well-fixed stems is lacking, but revision surgery may provide more predictable outcomes for unstable fracture patterns and fractures around polished taper-slip stems. Future research should focus on implant-related risk factors, treatment of concurrent metabolic bone disease and the use of large endoprostheses. Cite this article: EFORT Open Rev 2020;5:558-567. DOI: 10.1302/2058-5241.5.200003
format Online
Article
Text
id pubmed-7528669
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher British Editorial Society of Bone and Joint Surgery
record_format MEDLINE/PubMed
spelling pubmed-75286692020-10-16 Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes Ramavath, Ashoklal Lamb, Jonathan N. Palan, Jeya Pandit, Hemant G. Jain, Sameer EFORT Open Rev Hip The rising incidence of postoperative periprosthetic femoral fracture (PFF) presents a significant clinical and economic burden. A detailed understanding of risk factors is required in order to guide preventative strategies. Different femoral stems have unique characteristics and management strategies must be tailored appropriately. Consensus regarding treatment of PFFs around well-fixed stems is lacking, but revision surgery may provide more predictable outcomes for unstable fracture patterns and fractures around polished taper-slip stems. Future research should focus on implant-related risk factors, treatment of concurrent metabolic bone disease and the use of large endoprostheses. Cite this article: EFORT Open Rev 2020;5:558-567. DOI: 10.1302/2058-5241.5.200003 British Editorial Society of Bone and Joint Surgery 2020-09-30 /pmc/articles/PMC7528669/ /pubmed/33072408 http://dx.doi.org/10.1302/2058-5241.5.200003 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
Ramavath, Ashoklal
Lamb, Jonathan N.
Palan, Jeya
Pandit, Hemant G.
Jain, Sameer
Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes
title Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes
title_full Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes
title_fullStr Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes
title_full_unstemmed Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes
title_short Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes
title_sort postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes
topic Hip
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7528669/
https://www.ncbi.nlm.nih.gov/pubmed/33072408
http://dx.doi.org/10.1302/2058-5241.5.200003
work_keys_str_mv AT ramavathashoklal postoperativeperiprostheticfemoralfracturearoundtotalhipreplacementscurrentconceptsandclinicaloutcomes
AT lambjonathann postoperativeperiprostheticfemoralfracturearoundtotalhipreplacementscurrentconceptsandclinicaloutcomes
AT palanjeya postoperativeperiprostheticfemoralfracturearoundtotalhipreplacementscurrentconceptsandclinicaloutcomes
AT pandithemantg postoperativeperiprostheticfemoralfracturearoundtotalhipreplacementscurrentconceptsandclinicaloutcomes
AT jainsameer postoperativeperiprostheticfemoralfracturearoundtotalhipreplacementscurrentconceptsandclinicaloutcomes

Ejemplares similares