Treatment of Vancouver type B2 periprosthetic femoral fractures.
OBJECTIVE
Stem loosening in both cemented and uncemented total hip arthroplasty is the hallmark of the Vancouver type B2 classification of periprosthetic hip fractures.


METHODS
We discuss the technique we use at our institution for treating these fractures.


RESULTS
Periprosthetic femoral-shaft fractures are associated with a relatively high mortality rate, approximating that of patients with hip fractures. Outcomes are directly associated with early mobilisation and construct stability.


CONCLUSIONS
We recommend performing the procedure only when the surgeon is proficient in revision hip surgery and trauma care. A well-selected portfolio of different stem designs and an array of osteosynthesis devices should be available, as well.
HELIOS ENDO-Klinik, Holstenstrasse 2, 22767, Hamburg, Germany. carl.haasper@helios-kliniken.de.
Carl
http://orcid.org/0000-0003-1209-4721
C
Haasper
Rothman Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Mohammad Ali
MA
Enayatollahi
HELIOS ENDO-Klinik, Holstenstrasse 2, 22767, Hamburg, Germany.
Thorsten
T
Gehrke
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005260:Female; D005264:Femoral Fractures / Q000145:classification / Q000209:etiology / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006801:Humans; D008297:Male; D008875:Middle Aged; D057068:Periprosthetic Fractures / Q000145:classification / Q000209:etiology / Q000601:surgery*; D011475:Prosthesis Failure; D019919:Prosthesis Implantation; D012086:Reoperation
Osteosynthesis; Periprosthetic hip fractures; Revision total hip arthroplasty; Vancouver classification