title: Management of Vancouver B2 and B3 femoral periprosthetic fractures using a modular cementless stem without allografting.
abstract: OBJECTIVE
  We reviewed our experience with the management of B2 and B3 femoral periprosthetic fractures using a distally fixed modular femoral stem in 55 patients.
  
  
  METHODS
  All periprosthetic fractures were managed immediately after injury without using allograft; 53 hips were available for a mean follow up of 67 months.
  
  
  RESULTS
  All fractures united, and the mean Harris hip score at the last follow up was 72. Subsidence was noted in two patients (4%) within six months postoperatively and required revision surgery. One patient developed peroneal nerve palsy. Two hips dislocated and were managed by closed reduction.
  
  
  CONCLUSIONS
  In these severe cases of periprosthetic fracture, the technique reviewed here proved to be reliable.
authors: PMU Salzburg, Orthopedic University Clinic, Salzburg, Austria. dr.daniel.neumann@gmail.com
authors: Daniel
authors: D
authors: Neumann
authors: Christoph
authors: C
authors: Thaler
authors: Ulrich
authors: U
authors: Dorn
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002484:Cementation; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005269:Femur / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D057068:Periprosthetic Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D011183:Postoperative Complications; D011475:Prosthesis Failure; D011859:Radiography; D012086:Reoperation