Vancouver type B3 periprosthetic fractures: evaluation and treatment.
Periprosthetic fracture with preexisting severe loss of bone stock is a challenging condition to treat. Available surgical options can be divided into three categories: complex reconstruction of the deficient proximal femur with secure distal fixation; segmental substitution of the proximal femur with a megaprosthesis or allograft/stem composite; and distally fixed replacement with a modular stem, which acts as a scaffold around which the remaining deficient proximal bone can be assembled, to unite and possibly reconstitute.
Richards
Corey J
CJ
Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.
Garbuz
Donald S
DS
Masri
Bassam A
BA
Duncan
Clive P
CP
D000077:Acetabulum / Q000601:surgery; D019644:Arthroplasty, Replacement, Hip; D005264:Femoral Fractures / Q000175:diagnosis / Q000601:surgery*; D005269:Femur / Q000601:surgery*; D017102:Fracture Healing; D006622:Hip Prosthesis; D006801:Humans; D011183:Postoperative Complications; D011474:Prosthesis Design; D054457:Tissue Scaffolds; D014184:Transplantation, Homologous