Periprosthetic Femoral Fractures in Total Hip Arthroplasty

2014 ◽  
Vol 24 (6) ◽  
pp. 556-567 ◽  
Author(s):  
Nicholas E. Ohly ◽  
Michael R. Whitehouse ◽  
Clive P. Duncan
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Fractures ◽  
Total Hip ◽  
Periprosthetic Femoral Fractures

scholarly journals Patient and implant survival following intraoperative periprosthetic femoral fractures during primary total hip arthroplasty

2019 ◽  
Vol 101-B (10) ◽  
pp. 1199-1208 ◽  
Author(s):  
Jonathan N. Lamb ◽  
Gulraj S. Matharu ◽  
Anthony Redmond ◽  
Andrew Judge ◽  
Robert M. West ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Revision Surgery ◽  
Cox Regression ◽  
Patient Survival ◽  
Femoral Fractures ◽  
Trochanteric Fracture ◽  
Total Hip ◽  
Periprosthetic Femoral Fractures ◽  
Primary Total Hip Arthroplasty

Aims We compared implant and patient survival following intraoperative periprosthetic femoral fractures (IOPFFs) during primary total hip arthroplasty (THA) with matched controls. Patients and Methods This retrospective cohort study compared 4831 hips with IOPFF and 48 154 propensity score matched primary THAs without IOPFF implanted between 2004 and 2016, which had been recorded on a national joint registry. Implant and patient survival rates were compared between groups using Cox regression. Results Ten-year stem survival was worse in the IOPFF group (p < 0.001). Risk of revision for aseptic loosening increased 7.2-fold following shaft fracture and almost 2.8-fold after trochanteric fracture (p < 0.001). Risk of periprosthetic fracture of the femur revision increased 4.3-fold following calcar-crack and 3.6-fold after trochanteric fracture (p < 0.01). Risk of instability revision was 3.6-fold after trochanteric fracture and 2.4-fold after calcar crack (p < 0.001). Risk of 90-day mortality following IOPFF without revision was 1.7-fold and 4.0-fold after IOPFF with early revision surgery versus uncomplicated THA (p < 0.001). Conclusion IOPFF increases risk of stem revision and mortality up to ten years following surgery. The risk of revision depends on IOPFF subtype and mortality risk increases with subsequent revision surgery. Surgeons should carefully diagnose and treat IOPFF to minimize fracture progression and implant failure. Cite this article: Bone Joint J 2019;101-B:1199–1208

scholarly journals Cement-in-cement stem revision for Vancouver type B periprosthetic femoral fractures after total hip arthroplasty

2009 ◽  
Vol 80 (5) ◽  
pp. 548-552 ◽  
Author(s):  
Toby W Briant-Evans ◽  
Darmaraja Veeramootoo ◽  
Eleftherios Tsiridis ◽  
Matthew J Hubble
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Fractures ◽  
Type B ◽  
Total Hip ◽  
Stem Revision ◽  
Periprosthetic Femoral Fractures

scholarly journals Intraoperative periprosthetic femoral fractures at total hip arthroplasty. Review of classifications and treatment techniques

2019 ◽  
Vol 26 (2) ◽  
pp. 67-72
Author(s):  
E. V Polevoy ◽  
N. V Zagorodniy ◽  
S. V Kagramanov ◽  
G. A Chragyan ◽  
O. A Aleksanyan
Keyword(s):  
Surgical Treatment ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Fractures ◽  
Treatment Technique ◽  
Total Hip ◽  
Treatment Techniques ◽  
Periprosthetic Femoral Fractures ◽  
Classification And Treatment

The review covers the problem of intraoperative periprosthetic femoral fractures at total hip arthroplasty including the causes, classification and treatment techniques. This complication may occur at any step of the intervention, may differ by localization and pattern. All these will determine the preferable surgical treatment technique.

Periprosthetic femoral fractures after total hip arthroplasty: An algorithm of treatment

Injury ◽  
2019 ◽  
Vol 50 ◽  
pp. S45-S51 ◽  
Author(s):  
Vito Pavone ◽  
Claudia de Cristo ◽  
Antonio Di Stefano ◽  
Luciano Costarella ◽  
Gianluca Testa ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Femoral Fractures ◽  
Total Hip ◽  
Periprosthetic Femoral Fractures
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