Principles of managing Vancouver type B periprosthetic fractures around cemented polished tapered femoral stems

Eur J Orthop Surg Traumatol. 2017 May;27(4):477-482. doi: 10.1007/s00590-016-1883-7. Epub 2016 Nov 26.

Abstract

The management of periprosthetic fractures around total hip replacements is a complex and challenging problem. Getting it right first time is an important factor in reducing the morbidity, mortality and financial burden associated with these injuries. Understanding and applying the basic principles of fracture management helps increase the chance of successful treatment. Based on these principles, we suggest a treatment algorithm for managing periprosthetic fractures around polished tapered femoral stems.

Keywords: Periprosthetic fracture; Polished taper stem; Total hip replacement.

Publication types

  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Hip / adverse effects*
  • Arthroplasty, Replacement, Hip / methods
  • Bone Cements
  • Female
  • Femoral Fractures / diagnostic imaging
  • Femoral Fractures / surgery*
  • Fracture Fixation, Internal / methods*
  • Fracture Healing / physiology
  • Hip Fractures / diagnostic imaging
  • Hip Fractures / surgery
  • Hip Prosthesis
  • Humans
  • Male
  • Middle Aged
  • Periprosthetic Fractures / diagnostic imaging*
  • Periprosthetic Fractures / surgery*
  • Prognosis
  • Prosthesis Failure
  • Range of Motion, Articular / physiology
  • Reoperation
  • Risk Assessment

Substances

  • Bone Cements