Correlations between Vancouver type of periprosthetic femur fracture and treatment outcomes

Pawel Legosz; Anna E Platek; Anna Rys-Czaporowska; Filip M Szymanski; Pawel Maldyk

doi:10.1016/j.jor.2019.05.011

Correlations between Vancouver type of periprosthetic femur fracture and treatment outcomes

J Orthop. 2019 May 27;16(6):517-521. doi: 10.1016/j.jor.2019.05.011. eCollection 2019 Nov-Dec.

Authors

Pawel Legosz¹, Anna E Platek^{2

3}, Anna Rys-Czaporowska², Filip M Szymanski², Pawel Maldyk¹

Affiliations

¹ Department of Orthopaedics and Traumatology, Medical University of Warsaw, Warsaw, Poland.
² 1st Department of Cardiology, Medical University of Warsaw, Warsaw, Poland.
³ Department of General & Experimental Pathology with Centre for Preclinical Research and Technology (CEPT), Medical University of Warsaw, Warsaw, Poland.

Abstract

Objective: Periprosthetic femur fractures are one of the most severe complications of total hip arthroplasty.

Methods: The aim of this study was to assess outcomes of periprosthetic femur fractures based on the Vancouver classifications of fractures.

Results: Sixty-four patients were enrolled into the study. Type B1 fractures were the most common - 33 cases. In comparison to patients with type B3 fracture, patients with type B1 fracture significantly less often experienced postoperative pain.

Conclusion: Study shown that in the context of both objective outcomes of the operation and patient satisfaction, the most unfavourable prognosis is after type B3.

Keywords: Harris hip score; Periprosthetic fractures; Total hip arthroplasty; Vancouver classification.