title: Periprosthetic fractures of the femur after hip arthroplasty: an analysis of 99 patients.
abstract: 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.
authors.affiliation: Naval Medical Center San Diego, Department of Orthopaedic Surgery, San Diego, CA, USA.
authors.forename: Keith
authors.initials: K
authors.lastname: Holley
authors.forename: Jonathan
authors.initials: J
authors.lastname: Zelken
authors.forename: Douglas
authors.initials: D
authors.lastname: Padgett
authors.forename: George
authors.initials: G
authors.lastname: Chimento
authors.forename: Andrew
authors.initials: A
authors.lastname: Yun
authors.forename: Robert
authors.initials: R
authors.lastname: Buly