[Periprosthetic fractures after total hip arthroplasty : classification, diagnosis and therapy strategies].
The number of periprosthetic fractures following hip replacement is increasing due to longer life expectancy and the rising number of joint replacements. The main causes of periprosthetic fractures include trauma, implant specific factors or loosening of the endoprosthesis. When planning therapy, surgeons should consider specific and general implant- and patient-related risk factors to ensure the best possible treatment. Established classification systems can facilitate preoperative planning. At present, the Vancouver classification system probably comes closest to the ideal, as it considers fracture configuration, stability of the implant and quality of the bone stock. Depending on these factors, therapeutic options include conservative treatment, fracture stabilisation or replacement of the endoprosthesis. The problems associated with periprosthetic fractures of varying etiology and the available treatment options are discussed against the background of the established classification systems.
Holzapfel
B M
BM
Orthopädische Klinik König-Ludwig-Haus, Julius-Maximilians-Universität Würzburg, Brettreichstrasse 11, 97074, Würzburg, Deutschland. holzapfel_b@chirurgie.uni-wuerzburg.de
Prodinger
P M
PM
Hoberg
M
M
Meffert
R
R
Rudert
M
M
Gradinger
R
R
D000077:Acetabulum / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D005264:Femoral Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D006620:Hip Fractures / Q000145:classification / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D012307:Risk Factors
Oper Orthop Traumatol. 2006 Oct;18(4):341-63
17103132
J Am Med Assoc. 1954 Jun 5;155(6):564-7
13162755
J Arthroplasty. 1992 Jun;7(2):129-35
1613518
Orthopade. 2004 Jan;33(1):63-7
14747912
Unfallchirurg. 2004 Jan;107(1):35-49
14997874
J Bone Joint Surg Am. 2003 Dec;85(12):2385-90
14668509
J Arthroplasty. 1999 Jun;14(4):426-31
10428222
J Orthop Res. 1991 May;9(3):414-21
2010846
Injury. 2003 Feb;34(2):95-105
12565015
Clin Orthop Relat Res. 2004 Mar;(420):80-95
15057082
J Trauma. 1974 Aug;14(8):675-94
4846429
Z Orthop Unfall. 2007 Sep-Oct;145 Suppl 1:S40-3
17939098
Clin Orthop Relat Res. 1989 Nov;(248):177-80
2805477
Acta Orthop Scand. 1988 Feb;59(1):9-13
3354328
J Bone Joint Surg Am. 1976 Sep;58(6):838-45
956229
J Arthroplasty. 2010 Aug;25(5):759-65
19577879
Clin Orthop Relat Res. 1996 Jun;(327):238-46
8641069
Injury. 2007 Jun;38(6):655-60
17467710
Clin Orthop Relat Res. 1988 Oct;(235):61-6
3416542
J Bone Joint Surg Br. 1988 May;70(3):386-9
3372557
Orthop Clin North Am. 1999 Apr;30(2):183-90
10196420
Injury. 2007 Jun;38(6):698-703
17481629
Unfallchirurg. 2004 Mar;107(3):181-8
15042299
J Am Acad Orthop Surg. 1994 May;2(3):164-172
10709005
J Bone Joint Surg Am. 1996 Aug;78(8):1206-13
8753713
J Bone Joint Surg Am. 2005 Dec;87(12):2626-2631
16322611
J Bone Joint Surg Am. 2002;84-A Suppl 2:2-20
12479335
Injury. 2007 Jun;38(6):661-8
17509260
J South Orthop Assoc. 1998 Winter;7(4):251-8
9876995
Arch Orthop Trauma Surg. 2008 Apr;128(4):409-16
17639435
Int Orthop. 2000;24(3):134-8
10990382
Orthopedics. 1989 Aug;12(8):1067-70
2771826
J Arthroplasty. 2002 Apr;17(3):349-54
11938513
Orthop Clin North Am. 1999 Apr;30(2):221-34
10196424
Injury. 2001 Dec;32 Suppl 3:SC64-75
11888196
Arch Orthop Trauma Surg. 2006 Mar;126(2):105-10
16374643
Arch Orthop Trauma Surg. 1989;108(3):141-3
2730295
Arch Orthop Trauma Surg. 1996;115(1):33-7
8775707
Orthopade. 1987 Aug;16(4):295-300
3658412
J Bone Joint Surg Am. 2007 Dec;89(12):2658-62
18056498
Clin Orthop Relat Res. 1989 Jun;(243):126-37
2721052
Instr Course Lect. 1995;44:293-304
7797866
J Am Acad Orthop Surg. 1994 Jan;2(1):16-25
10708990
Clin Orthop Relat Res. 2004 Mar;(420):142-7
15057090
Clin Orthop Relat Res. 1982 Oct;(170):95-106
7127971
J Bone Joint Surg Am. 2006 Jun;88(6):1215-22
16757753
Instr Course Lect. 2000;49:141-6
10829170
J Bone Joint Surg Am. 2001 Jul;83(7):1023-31
11451971
Clin Orthop Relat Res. 2001 Dec;(393):264-71
11764358
Clin Orthop Relat Res. 2001 Sep;(390):221-6
11550869
J Arthroplasty. 1994 Oct;9(5):511-9
7807109
Unfallchirurg. 2005 Dec;108(12):1029-32, 1034-7
16133288
J Am Acad Orthop Surg. 2007 Feb;15(2):97-106
17277256
Injury. 2007 Aug;38(8):958-64
17306269
Injury. 2007 Jun;38(6):688-97
17466991
Unfallchirurg. 2003 Sep;106(9):722-31
14631527
J Bone Joint Surg Br. 1984 May;66(3):337-9
6725341
J Arthroplasty. 2010 Feb;25(2):280-6
19056231
J Arthroplasty. 2000 Jan;15(1):59-62
10654463
Orthopade. 1998 May;27(5):287-93
9646320
J Bone Joint Surg Am. 1974 Apr;56(3):483-92
4822511
J Bone Joint Surg Am. 1981 Dec;63(9):1435-42
7320034
J Bone Joint Surg Am. 1999 Dec;81(12):1692-702
10608380
Orthop Clin North Am. 1998 Apr;29(2):307-12
9553575
Clin Orthop Relat Res. 1988 Nov;(236):210-3
3180572
J Bone Joint Surg Br. 1992 May;74(3):372-6
1587880