Periprosthetic fractures of the femur after hip arthroplasty: an analysis of 99 patients.
The medical records and radiographs of 99 patients treated for a periprosthetic femur fracture after total hip arthroplasty over a 17-year period at a single institution were prospectively reviewed. Fractures were classified according to the Vancouver system and stratified as to treatment method. Sixty-six patients had complete records available and a minimum of 12 months follow-up. Overall, 86% of the patients achieved fracture union. The success rate of cemented revision in the B2 and B3 groups was 84%, whereas cement-less revision was 86% successful. The complication rate of surgical treatment was 29%. Fracture union with a stable implant was possible in the majority of cases. Our results support the use of the Vancouver classification as a treatment algorithm.
Holley
Keith
K
Naval Medical Center San Diego, Department of Orthopaedic Surgery, San Diego, CA, USA.
Zelken
Jonathan
J
Padgett
Douglas
D
Chimento
George
G
Yun
Andrew
A
Buly
Robert
R