title: Revision total hip arthroplasty for a Vancouver type B3 periprosthetic fracture using an allograft-cemented stem composite by the telescoping technique.
abstract: We describe a case of successful revision total hip arthroplasty for a Vancouver type B3 periprosthetic femoral fracture with extensive bone stock deficiency and osteoporotic diaphyseal bone. The femur was reconstructed with an allograft-cemented stem composite using a telescoping technique and a drainage hole for surplus cement. This procedure facilitated stable stem fixation to the host femur without cement interference and bony fusion between the allograft and host bone, as revealed by bone scintigraphy. This technique provides a surgical option for a severe periprosthetic femoral fracture in which the femoral diaphyseal bone is too osteoporotic to support the fixation of an allograft-cementless stem composite.
authors.affiliation: Department of Orthopaedic Surgery, Gifu University, School of Medicine, 1-1, Yanagido, Gifu, Gifu, 501-1194 Japan.
authors.forename: Hiroyasu
authors.initials: H
authors.lastname: Ogawa
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Ito
authors.forename: Iori
authors.initials: I
authors.lastname: Takigami
authors.forename: Katsuji
authors.initials: K
authors.lastname: Shimizu
mesh_terms: D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000295:instrumentation* / Q000379:methods*; D001843:Bone Cements; D016025:Bone Transplantation; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D015207:Osteoarthritis, Hip / Q000601:surgery; D057068:Periprosthetic Fractures / Q000150:complications / Q000209:etiology* / Q000601:surgery*; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation; D014184:Transplantation, Homologous; D016896:Treatment Outcome
chemical_list: D001843:Bone Cements