Periprosthetic femoral fractures treated with a long-stem cementless component.
Periprosthetic femoral fractures can be a difficult management problem. Proximal femoral fractures with a loose component are managed best with revision arthroplasty. We reviewed the midterm follow-up of 14 proximal femoral fractures managed with a long-stem extensively porous-coated femoral component. The average follow-up in this series was 8.2 years (minimum, 5.3 years). Fractures were treated with open reduction and internal fixation, supplemental cortical strut grafting when required, and a canal-filling implant. All fractures achieved union with an average time to union of 4 months. There have been no component failures requiring revision. Twelve prostheses achieved stable bone ingrowth, 1 component showed stable fibrous ingrowth, and 1 component was not stable but was not symptomatic enough to warrant revision.
Macdonald
S J
SJ
Department of Orthopaedic Surgery, University Hospital, London Health Sciences Centre, London, Ontario, Canada.
Paprosky
W G
WG
Jablonsky
W S
WS
Magnus
R G
RG
D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005264:Femoral Fractures / Q000209:etiology* / Q000601:surgery*; D005500:Follow-Up Studies; D005592:Fracture Fixation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D019736:Prostheses and Implants; D012086:Reoperation