The use of uncemented extensively porous-coated femoral components in the management of Vancouver B2 and B3 periprosthetic femoral fractures
- 1 December 2005
- journal article
- Published by British Editorial Society of Bone & Joint Surgery in The Journal of Bone and Joint Surgery. British volume
- Vol. 87-B (12), 1617-1621
- https://doi.org/10.1302/0301-620x.87b12.16338
Abstract
We assessed the outcome of patients with Vancouver type B2 and B3 periprosthetic fractures treated with femoral revision using an uncemented extensively porous-coated implant. A retrospective clinical and radiographic assessment of 22 patients with a mean follow-up of 33.7 months was performed. The mean time from the index procedure to fracture was 10.8 years. There were 17 patients with a satisfactory result. Complications in four patients included subsidence in two, deep sepsis in one, and delayed union in one. Concomitant acetabular revision was required in 19 patients. Uncemented extensively porous-coated femoral stems incorporate distally allowing stable fixation. We found good early survival rates and a low incidence of nonunion using this implant.Keywords
This publication has 37 references indexed in Scilit:
- Periprosthetic fractures associated with osteolysis: A problem on the riseThe Journal of Arthroplasty, 2003
- Dall-miles cable-grip system for periprosthetic fractures of femurEuropean Journal of Orthopaedic Surgery & Traumatology, 2001
- The reliability of validity of the Vancouver classification of femoral fractures after hip replacementThe Journal of Arthroplasty, 2000
- CLASSIFICATION OF THE HIPOrthopedic Clinics of North America, 1999
- Treatment of periprosthetic fractures around total hip arthroplasty with an extensively coated femoral componentThe Journal of Arthroplasty, 1996
- Fractures of the ipsilateral femur after hip arthroplastyThe Journal of Arthroplasty, 1994
- Bypassing femoral cortical defects with cemented intramedullary stemsJournal of Orthopaedic Research, 1991
- Roentgenographic Assessment of the Biologic Fixation of Porous-Surfaced Femoral ComponentsClinical Orthopaedics and Related Research, 1990
- Cementless Total Hip Arthroplasty Using the Anatomic Medullary Locking StemPublished by Wolters Kluwer Health ,1989
- Proximal Femoral Fractures Following Total Hip ArthroplastyClinical Orthopaedics and Related Research, 1982