Midterm results and complications rates in vancouver type B2 and B3 periprosthetic femoral fractures treated with modular fluted tapered stems

Iglesias Santiago L; Aguirre Gerardo; Vanoli Fernando; Pérez Alamino Leonel; Pioli Ignacio; Maletti Pablo; Lopreite Fernando A; Del Sel Hernán; Allende Bartolomé L

doi:10.1016/j.jor.2021.10.006

Midterm results and complications rates in vancouver type B2 and B3 periprosthetic femoral fractures treated with modular fluted tapered stems

J Orthop. 2021 Oct 13:28:1-4. doi: 10.1016/j.jor.2021.10.006. eCollection 2021 Nov-Dec.

Authors

Iglesias Santiago L¹, Aguirre Gerardo¹, Vanoli Fernando¹, Pérez Alamino Leonel², Pioli Ignacio¹, Maletti Pablo³, Lopreite Fernando A², Del Sel Hernán², Allende Bartolomé L¹

Affiliations

¹ Instituto Allende de Cirugía Reconstructiva de Los Miembros, Sanatorio Allende, Córdoba, Argentina.
² Hospital Británico de Buenos Aires, Buenos Aires, Capital Federal, Argentina.
³ Traumatología Del Comahue, Neuquén, Argentina.

Abstract

Evaluate the mid-term success rate of these stems in periprosthetic femur fractures and to analyze the complications observed with the use of these stems.

Methods: Thirty five patients that underwent hip revision surgery secondary to Vancouver type B2 and B3 periprosthetic femur fracture were evaluated. In all cases, modular fluted tapered stems were used.

Results: Average follow-up was 42 months. Average Postoperative Harris Hip Score (HHS) was 78.11. Fracture healing was obtained in a 100% of the patients. Average implant survival was 50 months.

Conclusion: Modular fluted tapered stems demonstrated a high rate implant stability, proximal femoral bone reconstitution, and fracture healing.

Keywords: Fractures; Hip arthroplasty; Periprosthetic femoral; Revision hip arthroplasty; Tapered fluted stem; Vancouver classification.