title: Results of cemented femoral revisions for periprosthetic femoral fractures in the elderly.
abstract: The treatment goals of Vancouver type B2 periprosthetic femoral fractures in elderly patients with a limited life expectancy are early weight bearing without compromising the fracture healing. Thirty-one patients with a mean age of 82 years were treated with a long cemented stem with additional allograft or plate fixation, followed by immediate full weight bearing. Seven major complications occurred within the first 3 months postoperatively. Forty-three percent of patients had died within the first year with their implant in place. Sixteen patients had survived more than 1 year. None of the implants had to be revised at a mean follow-up of 46 months. The results of this series suggest that this technique can provide acceptable results and offers the advantages of reduced cost and early weight bearing.
authors.affiliation: London Health Science Center, University Hospital, London, Ontario, Canada.
authors.forename: Kristoff
authors.initials: K
authors.lastname: Corten
authors.forename: Steven J
authors.initials: SJ
authors.lastname: Macdonald
authors.forename: Richard W
authors.initials: RW
authors.lastname: McCalden
authors.forename: Robert B
authors.initials: RB
authors.lastname: Bourne
authors.forename: Douglas D R
authors.initials: DD
authors.lastname: Naudie
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000379:methods*; D001843:Bone Cements; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005500:Follow-Up Studies; D017102:Fracture Healing / Q000502:physiology; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000502:physiology / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D057068:Periprosthetic Fractures / Q000601:surgery*; D011859:Radiography; D012086:Reoperation / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome; D016474:Weight-Bearing / Q000502:physiology
chemical_list: D001843:Bone Cements