title: Principles of managing Vancouver type B periprosthetic fractures around cemented polished tapered femoral stems.
abstract: The management of periprosthetic fractures around total hip replacements is a complex and challenging problem. Getting it right first time is an important factor in reducing the morbidity, mortality and financial burden associated with these injuries. Understanding and applying the basic principles of fracture management helps increase the chance of successful treatment. Based on these principles, we suggest a treatment algorithm for managing periprosthetic fractures around polished tapered femoral stems.
authors.affiliation: Royal Derby Hospital, Uttoxeter Road, Derby, DE223NE, UK. conalquah@yahoo.com.
authors.forename: Conal
authors.initials: C
authors.lastname: Quah
authors.affiliation: West Suffolk Hospital, Bury St Edumunds, Suffolk, IP332QZ, UK.
authors.forename: Matthew
authors.initials: M
authors.lastname: Porteous
authors.affiliation: Royal Derby Hospital, Uttoxeter Road, Derby, DE223NE, UK.
authors.forename: Arthur
authors.initials: A
authors.lastname: Stephen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects* / Q000379:methods; D001843:Bone Cements; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery; D006622:Hip Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D057068:Periprosthetic Fractures / Q000000981:diagnostic imaging* / Q000601:surgery*; D011379:Prognosis; D011475:Prosthesis Failure; D016059:Range of Motion, Articular / Q000502:physiology; D012086:Reoperation; D018570:Risk Assessment
chemical_list: D001843:Bone Cements
keywords: Periprosthetic fracture; Polished taper stem; Total hip replacement