title: The nonoperative management of periprosthetic fractures associated with the Birmingham hip resurfacing procedure.
abstract: We reviewed the outcome of 7 patients sustaining undisplaced femoral neck periprosthetic fractures associated with the Birmingham hip resurfacing procedure. All fractures presented within 4 months of initial surgery. All fractures were treated conservatively with a period of nonweight bearing. The 7 patients were assessed clinically and radiologically at a minimum of 16 months postfracture. All fractures had fully united. There was no evidence of impaired function or abnormal radiological findings after this conservative treatment strategy in 6 patients. One patient had marked femoral neck narrowing but no functional impairment.
authors.affiliation: SPORTSMED SA, Stepney, Adelaide 5069, South Australia, Australia.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Cossey
authors.forename: Diane L
authors.initials: DL
authors.lastname: Back
authors.forename: Andrew
authors.initials: A
authors.lastname: Shimmin
authors.forename: David
authors.initials: D
authors.lastname: Young
authors.forename: Anthony J
authors.initials: AJ
authors.lastname: Spriggins
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D003446:Crutches; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000534:rehabilitation*; D005500:Follow-Up Studies; D017102:Fracture Healing / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000601:surgery*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000534:rehabilitation*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D013499:Surface Properties; D016474:Weight-Bearing