title: [The use of uncemented extensively porous-coated femoral components in the management of Vancouver type B2 periprosthetic femoral fractures].
abstract: OBJECTIVE
  To assess the outcome of patients with Vancouver type B2 periprosthetic fractures treated with femoral revision using an uncemented extensively porous-coated implant.
  
  
  METHODS
  From October 2002 to May 2007, a retrospective clinical and radiographic assessment of 10 patients with Vancouver type B2 periprosthetic fractures treated with femoral revision was evaluated, among which 4 was cement fixation, 6 was non-cement fixation in the index procedure.
  
  
  RESULTS
  The mean follow-up for these patients was 44 months (range, 12 to 67 months). The mean Harris hip score was 87.6 points. All 10 reconstructions showed solid fracture union and a stable prosthesis, 8 was bone ingrowth, 2 was fibrous ingrowth. Complications in 4 patients included thigh pain in 1, stress shield in 3.
  
  
  CONCLUSIONS
  Vancouver type B2 periprosthetic fractures treated with uncemented extensively porous-coated femoral stems incorporate distally allowing stable fixation.
authors: Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China.
authors: Pei-Liang
authors: PL
authors: Fu
authors: Hai-Shan
authors: HS
authors: Wu
authors: Xiao-Hua
authors: XH
authors: Li
authors: Qi-Rong
authors: QR
authors: Qian
authors: Yu-Li
authors: YL
authors: Wu
authors: Yun-Li
authors: YL
authors: Zhu
authors: Yi
authors: Y
authors: Chen
mesh_terms: D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D057068:Periprosthetic Fractures / Q000601:surgery*; D011474:Prosthesis Design; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome