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Failure of Nonoperative Treatment of a Vancouver B2 Periprosthetic Fracture About an Antibiotic Spacer
Few case reports have been published describing the management of periprosthetic femur fractures with an antibiotic spacer. We report a case of a 58-year-old female who sustained a Vancouver B2 femur fracture with an antibiotic spacer that was initially treated with nonoperative measures. However, s...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9718646/ https://www.ncbi.nlm.nih.gov/pubmed/36475208 http://dx.doi.org/10.7759/cureus.31028 |
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author | Bertha, Nicholas Nikkel, Lucas |
author_facet | Bertha, Nicholas Nikkel, Lucas |
author_sort | Bertha, Nicholas |
collection | PubMed |
description | Few case reports have been published describing the management of periprosthetic femur fractures with an antibiotic spacer. We report a case of a 58-year-old female who sustained a Vancouver B2 femur fracture with an antibiotic spacer that was initially treated with nonoperative measures. However, she went on to have increased fracture displacement and subsidence warranting operative intervention in the form of conversion to total hip arthroplasty with a diaphyseal fitting spline tapered stem and open reduction and internal fixation of the femur. We suggest that periprosthetic fractures about antibiotic spacers may be at a higher risk of displacement due to a lack of stem ingrowth potential and that early operative management may be more appropriate for these patients. |
format | Online Article Text |
id | pubmed-9718646 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-97186462022-12-05 Failure of Nonoperative Treatment of a Vancouver B2 Periprosthetic Fracture About an Antibiotic Spacer Bertha, Nicholas Nikkel, Lucas Cureus Orthopedics Few case reports have been published describing the management of periprosthetic femur fractures with an antibiotic spacer. We report a case of a 58-year-old female who sustained a Vancouver B2 femur fracture with an antibiotic spacer that was initially treated with nonoperative measures. However, she went on to have increased fracture displacement and subsidence warranting operative intervention in the form of conversion to total hip arthroplasty with a diaphyseal fitting spline tapered stem and open reduction and internal fixation of the femur. We suggest that periprosthetic fractures about antibiotic spacers may be at a higher risk of displacement due to a lack of stem ingrowth potential and that early operative management may be more appropriate for these patients. Cureus 2022-11-02 /pmc/articles/PMC9718646/ /pubmed/36475208 http://dx.doi.org/10.7759/cureus.31028 Text en Copyright © 2022, Bertha et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Orthopedics Bertha, Nicholas Nikkel, Lucas Failure of Nonoperative Treatment of a Vancouver B2 Periprosthetic Fracture About an Antibiotic Spacer |
title | Failure of Nonoperative Treatment of a Vancouver B2 Periprosthetic Fracture About an Antibiotic Spacer |
title_full | Failure of Nonoperative Treatment of a Vancouver B2 Periprosthetic Fracture About an Antibiotic Spacer |
title_fullStr | Failure of Nonoperative Treatment of a Vancouver B2 Periprosthetic Fracture About an Antibiotic Spacer |
title_full_unstemmed | Failure of Nonoperative Treatment of a Vancouver B2 Periprosthetic Fracture About an Antibiotic Spacer |
title_short | Failure of Nonoperative Treatment of a Vancouver B2 Periprosthetic Fracture About an Antibiotic Spacer |
title_sort | failure of nonoperative treatment of a vancouver b2 periprosthetic fracture about an antibiotic spacer |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9718646/ https://www.ncbi.nlm.nih.gov/pubmed/36475208 http://dx.doi.org/10.7759/cureus.31028 |
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