scholarly journals Vancouver classification of periprosthetic hip fractures

2017 ◽  
Author(s):  
Yair Glick
Keyword(s):  
Hip Fractures ◽  
Vancouver Classification

Implementation of risk assessment and classification of pressure ulcers as quality indicators for patients with hip fractures

1999 ◽  
Vol 8 (4) ◽  
pp. 396-406 ◽  
Author(s):  
LENA GUNNINGBERG ◽  
CHRISTINA LINDHOLM ◽  
MARIANNE CARLSSON ◽  
PER‐OLOW SJÖdÉn
Keyword(s):  
Risk Assessment ◽  
Quality Indicators ◽  
Hip Fractures ◽  
Pressure Ulcers

Validity of routinely collected data in identifying hip fractures at a major tertiary hospital in Australia

2017 ◽  
Vol 47 (1) ◽  
pp. 38-45 ◽  
Author(s):  
Lieu Thi Thuy Trinh ◽  
Helen Achat ◽  
Sze Ming Loh ◽  
Robert Pascoe ◽  
Hassan Assareh ◽  
...  
Keyword(s):  
Hip Fractures ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Tertiary Hospital ◽  
Care Hospital ◽  
Factors Associated ◽  
Routinely Collected Data ◽  
Classification Of Diseases ◽  
International Statistical Classification

Objectives: To examine the validity of routinely collected data in identifying hip fractures (HFs) and to identify factors associated with incorrect coding. Method: In a prospective cohort study between January 2014 and June 2016, HFs were identified using physician diagnosis and diagnostic imaging and were recorded in a Registry. Records of HFs in the health information exchange (HIE) were identified using International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification/Australian Classification of Health Interventions/Australian Coding Standards codes. New HFs were estimated by episode of care, hospital admission and with an algorithm. Data from the HIE and the Registry were compared. Results: The number of HFs as the principal diagnosis (PD) recorded by episode (864) was higher than by admission (743), by algorithm (711) and in the Registry (638). The sensitivity was high for all methods (90–93%) but the positive predictive value was lower for episode (68%) than for admission (80%) or algorithm (81%). The number of HFs with surgery recorded in the PD by episode (639), algorithm (630) and in the Registry (623) was similar but higher than by admission (589). The episode and algorithm methods also had higher sensitivity (91–92%) than the admission method (84%) for HFs with surgery. Factors associated with coding errors included subsequent HF, long hospital stay, intracapsular fracture, younger age, male, HF without surgery and death in hospital. Conclusions: When it is not practical to use the algorithm for regular monitoring of HFs, using PD by admission to estimate total HFs and PD by episode in combination with a procedure code to estimate HFs with surgery can produce robust estimations.

The Vancouver Classification of Periprosthetic Fractures of the Hip: A Rational Approach to Treatment

1999 ◽  
Vol 14 (2) ◽  
pp. 107-114 ◽  
Author(s):  
Owen H. Brady ◽  
Robert Kerry ◽  
Bassam A. Masri ◽  
Donald S. Garbuz ◽  
Clive P. Duncan
Keyword(s):  
Periprosthetic Fractures ◽  
Rational Approach ◽  
Vancouver Classification

scholarly journals Periprosthetic hip fractures: an update into their management and clinical outcomes

2021 ◽  
Vol 6 (1) ◽  
pp. 955-972
Author(s):  
Nikolaos Patsiogiannis ◽  
Nikolaos K. Kanakaris ◽  
Peter V. Giannoudis
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Fractures ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Revision Surgery ◽  
Reliable Method ◽  
Vancouver Classification ◽  
Surgical Exploration ◽  
Axis Rotation ◽  
Complex Injuries

The Vancouver classification is still a useful tool of communication and stratification of periprosthetic fractures, but besides the three parameters it considers, clinicians should also assess additional factors. Combined advanced trauma and arthroplasty skills must be available in departments managing these complex injuries. Preoperative confirmation of the THA (total hip arthroplasty) stability is sometimes challenging. The most reliable method remains intraoperative assessment during surgical exploration of the hip joint. Certain B1 fractures will benefit from revision surgery, whilst some B2 fractures can be effectively managed with osteosynthesis, especially in frail patients. Less invasive osteosynthesis, balanced plate–bone constructs, composite implant solutions, together with an appropriate reduction of the limb axis, rotation and length are critical for a successful fixation and uneventful fracture healing. Cite this article: EFORT Open Rev 2021;6:955-972. DOI: 10.1302/2058-5241.6.200050

scholarly journals Management of type B2 and B3 post-operative proximal periprosthetic femoral fractures, Oghara experience

2021 ◽  
Vol 9 (1) ◽  
pp. 52-60
Author(s):  
R.E.T. Enemudo ◽  
E.O. Edomwonyi ◽  
D.O. Odatuwa-Omagbemi ◽  
A.T. Obumse ◽  
M.M. Awa
Keyword(s):  
Femoral Fracture ◽  
Hip Prosthesis ◽  
Hip Dislocation ◽  
Femoral Fractures ◽  
University Teaching ◽  
Harris Hip Score ◽  
Periprosthetic Femoral Fracture ◽  
Vancouver Classification ◽  
Duration Of Surgery

Objective: To report the outcome of treatment of Types B2 and B3 Post- operative Periprosthetic proximal femoral fracture (PPFF) in four patients treated in Delta State University Teaching Hospital, Oghara, Delta State, using Vancouver classification of Duncan and Masri. Methodology: A retrospective study of four cases managed in this hospital. Information retrieved from case notes were sex, age, duration of prosthesis, treatment given, complications and outcome of treatment. Result: Atotal of 4 patients were reviewed in the study, 2 males and 2 females with a M: F of 1: 1. Duration of the implant before treatment was 5-12 years (mean of 8.3years). Age range was 60-83years (mean of 67.5 years). Two patients had Type B2 and two had Type B3. Average intraoperative blood loss was 1 litre. Duration of surgery was 3-4 hours. Duration of hospital stay was between 3 weeks and 5 months. The complications seen were primary haemorrhage, wound infection, hip dislocation and pulmonaryembolism. The outcome was good for 3 patients and fair in 1, using Harris Hip Score. Conclusion:Vancouver classification of Duncan and Masri is effective in the treatment of PPFF. Key words; Periprosthetic femoral fracture, Long stem hip prosthesis, Vancouver classification, osteolysis.

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