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Periprosthetic AND Fracture

Amir Herman, Bassam A Masri, Clive P Duncan, Nelson V Greidanus, Donald S Garbuz
BACKGROUND: The treatment for recurrent dislocation of a total hip arthroplasty is surgical using varied techniques and technologies to reduce the chances of re-dislocation and re-revision. The goal of this study is to compare operative techniques to reduce re-dislocation and re-revision in revision hip arthroplasty due to recurrent dislocations. METHODS: A retrospective study of revision hip arthroplasties done due to recurrent dislocation prior to 01 January 2014...
March 19, 2019: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Hai-Feng Dai, Feng Liu, Jia Li, Zhi-Hui Wang, Yong-Ming Lyu, Cong Xu
OBJECTIVE: To observe the effect of anti-osteoporosis drugs on the curative effect of femoral head replacement in the elderly patients with proximal humerus fracture. METHODS: From November 2012 to June 2016, 38 patients with proximal humeral fractures received humeral head replacement were divided into the treatment group and the control group according to whether the anti-osteoporosis drugs were used after the operation. The treatment group included 19 cases, of which 11 cases were three part fractures, 18 cases were four part fractures, and bone density was(0...
February 25, 2019: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
A Zanirato, M Formica, L Cavagnaro, S Divano, G Burastero, L Felli
Revision total knee arthroplasty (rTKA) is increasing of relevance in orthopaedic surgeon daily practice and this trend is likely to continue in the years ahead. The aim of this systematic review of English literature is to summarize and compare indications, complications, clinical and radiological results of metaphyseal cones and sleeves in management of bone loss in rTKA. Retrospective or prospective studies with at least 1 year of follow-up (FU) were included. The PRISMA 2009 flowchart and checklist were considered to edit the review...
March 16, 2019: Musculoskeletal Surgery
Mun Khin Chan, Michelle Caudwell, Andrew Suchowersky, Andrew Ashton
BACKGROUND: The Birmingham Hip Resurfacing (BHR) system (Smith and Nephew) was developed as an alternative to conventional total joint replacement for younger, more active patients. Among other complications exists the risk for femoral component failure. The only marketed revision option for such a complication involves exchange of all components for a total replacement arthroplasty. This presents as a considerable and potentially unnecessary operative burden where revision of only the femoral prosthesis would suffice...
March 14, 2019: ANZ Journal of Surgery
Ali Seker, Gokhan Baysal, Nafiz Bilsel, Sercan Yalcin
BACKGROUND: This study aims to investigate the effects of early weightbearing after intramedullary fixation of trochanteric fractures. METHODS: Femurs with different types of trochanteric fractures were modeled according to AO/OTA classification. Fractures were ideally reduced with one mm gap between fragments and fixed with intramedullary nails. Forces were applied simulating single- (Body weight: 60 kg, joint reaction force: 1999.2 N, abductor muscle force:1558...
March 7, 2019: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Bryan D Springer, Caryn D Etkin, Peter B Shores, Terence J Gioe, David G Lewallen, Kevin J Bozic
BACKGROUND: Perioperative periprosthetic femur fractures (PPFx) after total hip arthroplasty (THA) remain a leading cause of early stem failure and revision and are associated with high rates of morbidity and mortality. American Joint Replacement Registry (AJRR) data have been analyzed to determine the relationship of femoral stem fixation to PPFx revision. METHODS: All early (≤3 months from index arthroplasty) linked primary and revision hip arthroplasties reported to the AJRR between 2012 and 2017 were analyzed...
February 10, 2019: Journal of Arthroplasty
Jose L Carvajal, Stanley E Kim, Antonio Pozzi
OBJECTIVE: To report the successful use of cerclage cables around the periprosthetic region of a femoral fracture after total hip replacement (THR) in a dog with bone stock too limited for other methods of fixation. STUDY DESIGN: Case report. ANIMAL: 6-year-old male neutered, golden retriever. METHODS: Locking plate fixation of a type-B1 diaphyseal periprosthetic femoral fracture (PFF) failed 14 days after cementless THR and 6 days after initial femoral fracture repair...
February 28, 2019: Veterinary Surgery: VS
Sriskandarsara Senthilkumaran, David Robert Walker MacDonald, Iain Rankin, Iain Stevenson
PURPOSE: Distal femoral fractures in the elderly are associated with high morbidity and mortality and their incidence is increasing with an ageing population. Management of these fractures has evolved over recent decades and there is now an accepted recognition of the important role that acute arthroplasty may have in treatment of these fractures. Our purpose was to systematically review the evidence available in the literature for arthroplasty as a treatment option for distal femoral fractures...
February 28, 2019: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
D M Ates, P Koenen, R Otchwemah, H Bäthis
BACKGROUND: Both increasing implantation numbers of total hip replacements and demographic change with higher populations of older people, indicate that there will be an increase in periprosthetic fractures in the future. CAUSES: Falls in the home environment are the most common cause. Significant co-factors include reduced patient coordination, reduced bone quality, or implant-associated factors such as local osteolysis or pre-existing implant loosening. CLASSIFICATION: In the classification of periprosthetic fractures of the femur, the Vancouver classification has prevailed in recent years, which in addition to a description of the localization of the fracture also considers the stability of the prosthesis and bone quality...
February 28, 2019: Der Orthopäde
J Geßmann, M Königshausen, T A Schildhauer, D Seybold
OBJECTIVE: Stabilization of the humeral shaft and the restoration of shoulder function dependent on the osseous integrity of the prosthetic stem component. INDICATIONS: In cases of a stable prosthesis stem, an isolated plate osteosynthesis is possible. Prosthesis stem replacement is indicated in cases of a loose stem. With sufficient bone stock of the proximal humeral segment, a change to a shorter humeral shaft component with subsequent plate fixation of the fracture is possible...
February 28, 2019: Operative Orthopädie und Traumatologie
Alexander L Lazarides, Tyler J Vovos, Gireesh B Reddy, James K DeOrio, Mark E Easley, James A Nunley, Samuel B Adams
BACKGROUND: Evidence on the management of and outcomes from periprosthetic fractures about a total ankle replacement (TAR) are limited. The purpose of this study was to develop an algorithm for the management of patients with postoperative periprosthetic fractures about a TAR. METHODS: This was a retrospective analysis of patients undergoing a TAR from 2007 through 2017 with a subsequent periprosthetic fracture >4 weeks from index surgery. Implant stability was defined radiographically and intraoperatively where appropriate...
February 27, 2019: Foot & Ankle International
Przemysław Matuszewski, Tomasz Wydra, Alicja Baranowska, Wojciech Mikuła, Katarzyna Kiwerska-Jagodzińska
Fracture around the femoral shaft after hip arthroplasty is rarely trauma. On the other hand, the surgical supply of this fracture is a very demanding process, because we deal with older, often patients with risk factors, with poor bone quality and a broken bone canal filled with a prosthesis stem. AIM: The aim of the study is to analyze the frequency of these fractures over the years 2005-2011 and examples of surgical solutions (plate fixation, revision stems). MATERIALS AND METHODS: In the discussed period, 12 patients were treated for periprosthetic fracture of the femur...
January 28, 2019: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Peng-Fei Lei, Ru-Yin Hu, Yi-He Hu
This article reviews the recent updates in revision of total knee arthroplasty (RTKA). We reviewed the recent articles on RTKA in databases including PubMed, Google Scholar, and SCOPUS. Total knee arthroplasty (TKA) involves the replacement of all three compartments of the knee in surgery of the knee joint to restore capacity and function. TKA is one of the most common and reliable surgical treatment options for the treatment of knee diseases. However, some patients require revision of TKA (RTKA) after primary TKA for various reasons, including mechanical wear, implant loosening or breakage, malalignment, infection, instability, periprosthetic fracture, and persistent stiffness...
February 27, 2019: Orthopaedic Surgery
Travis J Dekker, J R Steele, E V Vinson, G E Garrigues
Glenohumeral osteoarthritis is a prevalent degenerative disease that can lead to excruciating pain and debility. End-stage osteoarthritis can be treated by both conservative and surgical interventions. Along with a comprehensive history and physical exam, pre-operative imaging with plain radiographs, computerized tomography, and magnetic resonance imaging plays an essential role in the decision-making process guiding whether the patient undergoes a shoulder hemiarthroplasty, anatomic total shoulder arthroplasty, or a reverse total shoulder arthroplasty...
February 23, 2019: Skeletal Radiology
Joel M Prince, James T Bernatz, Neil Binkley, Matthew P Abdel, Paul A Anderson
BACKGROUND: Bone loss after total knee arthroplasty (TKA) may lead to periprosthetic fractures that are associated with significant costs (morbidity, economic, etc.) and pose a challenge to operative fixation. This meta-analysis quantifies the change in bone mineral density (BMD) of the distal femur after primary TKA. METHODS: A systematic review of six databases was performed by two independent reviewers. Studies that reported bone density after knee arthroplasty were identified and inclusion/exclusion criteria was applied...
February 23, 2019: Archives of Osteoporosis
Giuseppe Solarino, Luigi Zagra, Andrea Piazzolla, Arcangelo Morizio, Giovanni Vicenti, Biagio Moretti
BACKGROUND: Ceramic-on-ceramic (CoC) bearings due to their mechanical properties can be used in primary total hip arthroplasty (THA) especially in young patients requiring a long-lasting implant. The goal of this study is to analyze the results of a series of 200 consecutive CoC THAs in patients aged 50 years or less at the time of surgery. METHODS: A retrospective study was conducted on the first 200 consecutive CoC arthroplasties performed using the direct lateral approach on 105 females and 81 males (14 bilateral cases) with an average age of 44...
January 31, 2019: Journal of Arthroplasty
Vito Pavone, Claudia de Cristo, Antonio Di Stefano, Luciano Costarella, Gianluca Testa, Giuseppe Sessa
BACKGROUND: Periprosthetic femoral fractures (PFFs) following total hip arthroplasty are becoming more prevalent and management of these fractures is often demanding. The surgeon has to assess in detail implant loosening, bone loss and type of fracture. The aim of the study is to identify the suitability of a treatment algorithm, based on the Vancouver classification that takes into account the activity and comorbidity of each patient. PATIENTS AND METHODS: This study retrospectively assessed 38 patients who were surgically treated for a PFF around total hip arthroplasty between 2010 and 2014...
February 2, 2019: Injury
Giuseppe Solarino, Andrea Piazzolla, Lorenzo Moretti, Giovanni Vicenti, Biagio Moretti
BACKGROUND: Ceramic-on-ceramic (CoC) is currently a viable bearing combination in primary total hip arthroplasty (THA) and, due to its mechanical properties, it can be used in young patients requiring a long-lasting implant. The aim of this study is to report the results of a series of CoC THAs at a minimum 20 years follow-up. METHODS: A retrospective study was conducted on the 1st 100 consecutive alumina-on-alumina arthroplasties performed by a single surgeon on 51 females and 40 males with an average age of 60...
November 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Federico De Meo, Giorgio Cacciola, Vittorio Bellotti, Antongiolio Bruschetta, Pietro Cavaliere
INTRODUCTION: Severe acetabular bone loss during revision hip arthroplasty can be restored with different surgical techniques. Best results have been observed using porous tantalum cementless cups. Trabecular Titanium (TT) cups were designed to reproduce the structure, mechanical and biological characteristics of trabecular bone. Few clinical studies have been published with these cups. The aim of this study is to evaluate the clinical and radiological outcome of patients with large acetabular defects (Paprosky IIb or higher) revised using TT cups...
November 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Daniele Marchica, Enrico Gallazzi, Giovanni Materazzi, Giulio A Battaglia, Luigi Zagra
INTRODUCTION: Metal-on-metal (MoM) large head total hip arthroplasties (THAs) were discontinued early after their introduction because of the high number of failures due to adverse reaction to metal debris (ARMD). Aim of this study is to report the clinical outcome at a mid-term follow-up (FU) of a series of large-head MoM THA. METHODS: In this prospective study, 25 hips (24 patients, 3 males, 21 females, mean age 62.44 years) who have undergone primary THA with large head (diameter ⩾36 mm) MoM prosthesis were evaluated...
November 2018: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
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