title: [Patients with periprosthetic femur fractures and consecutive stem replacement. Analysis of survival, complications, and quality of life].
abstract: BACKGROUND
  The goal of treating proximal periprosthetic femur fractures in geriatric patients is a timely postoperative mobilization. The purpose of this study is to analyze the results after treating our patients by femoral stem exchange irrespective of fixation status. The study included 32 patients (2001-2009; mean age 82 years; Vancouver classification: 12 type B1, 16 type B2, and 4 type C).
  
  
  METHODS
  Ambulatory status and activities of daily living pre- and postoperatively were compared. Retrospective data collection was performed by reviewing patients' charts. By interviewing patients, family members, and family physicians missing information was collected.
  
  
  RESULTS
  A total of 22 patients (69%) achieved their pre-traumatic mobilization level; 22 of 26 patients (85%) were reintegrated into their pre-traumatic environment. A 16% (n=5) complication rate and an 87% 12-month survival rate were calculated.
  
  
  CONCLUSIONS
  The concept of primary stable periprosthetic fracture care by using a revision prosthetic device potentially reduces complications related to postoperative non-weight-bearing without increasing the complication rate related to a more complex surgical procedure.
authors.affiliation: Klinik für Orthopädie, Unfall- und Handchirurgie, Hegau-Bodensee-Klinikum, Virchowstraße 10, Singen, Germany. ronny.langenhan@hbh-kliniken.de
authors.forename: R
authors.initials: R
authors.lastname: Langenhan
authors.forename: P
authors.initials: P
authors.lastname: Trobisch
authors.forename: B
authors.initials: B
authors.lastname: Hohendorff
authors.forename: M
authors.initials: M
authors.lastname: Baumann
authors.forename: A
authors.initials: A
authors.lastname: Probst
mesh_terms: D000203:Activities of Daily Living; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000401:mortality*; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D017102:Fracture Healing; D005858:Germany / Q000453:epidemiology; D006622:Hip Prosthesis / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000401:mortality* / Q000601:surgery*; D015995:Prevalence; D011788:Quality of Life; D012307:Risk Factors; D015996:Survival Rate