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11 papers 100 to 500 followers Periprosthetic femur fx
By David Bennett Pediatric Orthopaedic Surgeon in the United States
Gele B Moloney, Edward R Westrick, Peter A Siska, Ivan S Tarkin
INTRODUCTION: Periprosthetic femur fractures are a growing problem in the geriatric population. This study examines Vancouver B1 periprosthetic femur fractures treated with open reduction internal fixation using a laterally based plate. Outcomes using plates which spanned the length of the femur to the level of the femoral condyles were compared to those which did not. The hypothesis was that spanning internal fixation would result in a decreased rate of refracture and subsequent reoperation...
January 2014: Archives of Orthopaedic and Trauma Surgery
Andreas Leonidou, Mehran Moazen, Daniel M Skrzypiec, Simon M Graham, Joseph Pagkalos, Eleftherios Tsiridis
The unique configuration of periprosthetic femoral fractures (PFFs) is a major determinant of the subsequent management. The aim of this preliminary study was to investigate potential relationships between fracture angle (FA), fracture level (FL) and bone quality of Vancouver type B PFF. The FA, FL and the canal thickness ratio (CTR) were quantified for 27 patient X-rays. The CTR is an indicator of the underlying bone quality. Relationships between these factors were studied for the whole X-ray set, for a subgroup involving fracture above the tip of the stem and for subgroups with stable and unstable implants...
December 2013: Injury
H John Cooper, José A Rodriguez
Non-cemented femoral fixation in hip arthroplasty has become the standard of practice in the USA. However, recent literature has brought attention to an increasing incidence of periprosthetic femur fractures with certain stem designs. This study examines reasons for early periprosthetic femur fractures in patients with a hip arthroplasty performed using a non-cemented tapered wedge stem design. A multivariate analysis using a matched-cohort design was performed to assess any potential risk factors that may predispose to such fractures...
September 2010: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
A B Old, B J McGrory, R R White, G M Babikian
The use of allograft struts and cerclage wire, possibly augmented by plate fixation, for the treatment of Vancouver type-B1 peri-prosthetic fractures around a total hip replacement has been strongly advocated. We examined our results using plate fixation without allograft struts and compared them with the results of the use of struts alone or when combined with plate fixation. Of 20 consecutive patients with type-B1 fractures treated by open reduction and plate fixation, 19 were available for follow-up. The fractures healed in 18 patients with a mean time to weight-bearing of ten weeks (4 to 19)...
November 2006: Journal of Bone and Joint Surgery. British Volume
Ginger K Bryant, Saam Morshed, Julie Agel, M Bradford Henley, David P Barei, Lisa A Taitsman, Sean E Nork
OBJECTIVE: Report treatment results of periprosthetic femoral fractures adjacent or at the tip of a stable femoral stem (Vancouver Type B1) using a locked compression plate as the sole method of fracture stabilisation. DESIGN: Retrospective case series. SETTING: Academic Level I Trauma Centre. PATIENTS: Patients operatively treated at our institution with locked compression plating for Vancouver Type B1 periprosthetic fractures between 2002 and 2006 with at least 12 weeks of clinical follow-up were included...
November 2009: Injury
R G Zuurmond, W van Wijhe, J J A M van Raay, S K Bulstra
BACKGROUND: The purpose of this observational study was to determine the clinical results of the operative treatment of periprosthetic femoral fractures over a long period of time. METHODS: The medical records of patients treated between 1993 and 2006 for a periprosthetic femoral fracture were obtained after a survey in two major hospitals. Radiographic evaluation was performed according to the Vancouver classification. All patients were contacted to fill out the Oxford hip score...
June 2010: Injury
B C H van der Wal, M Vischjager, B Grimm, I C Heyligers, A J Tonino
We studied 14 periprosthetic femoral fractures out of a series of 619 hydroxyapatite coated hip implants and compared the outcome to published treatment algorithms using the Vancouver classification. There were five type A fractures, six B1, two B2, and one type B3 fracture. All but one type A fractures were treated conservatively. Compared with the Vancouver classification, we observed a different fracture type in the type B fractures. No fractures at the tip of the stem were seen, as in cemented implants...
August 2005: International Orthopaedics
George Grammatopoulos, Hemant Pandit, Gregoris Kambouroglou, Mark Deakin, Roger Gundle, Peter McLardy-Smith, Adrian Taylor, David Murray
Peri-prosthetic fractures (PPF) are a recognised complication following hip arthroplasty. Prosthesis design and type influence PPF pattern. Surgeons rely on classification systems, such as the Vancouver, to aid treatment planning. This study highlights a specific fracture pattern that occurs with cemented well-fixed polished, tapered, collarless (PTC) stems. We reviewed a consecutive series of 21 PPF around well fixed PTC stems. The majority of the fractures were classified pre-operatively as Vancouver B2 (14/21), but there were also B1 (6/21) and A type fractures...
November 2011: Injury
Simon M Graham, Mehran Moazen, Andreas Leonidou, Eleftherios Tsiridis
PURPOSE: The overall incidence of periprosthetic femoral fractures (PPF) is between 0.1 and 6 % of all total hip arthroplasties. Locking compression plates (LCP) have been used for the treatment of Vancouver B1 PPFs with variable results. The aim of this study is to examine the literature on locking plate failure rates, mode and reasons for failure. METHODOLOGY: A literature search was conducted for studies reporting the management of PPF of the femur with LCP fixation...
May 2013: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
Gohar A Naqvi, Shakoor A Baig, Nasir Awan
The Vancouver classification system of periprosthetic fractures has been revalidated in this study, using the radiographs of 45 patients. Three consultants and 3 trainees reviewed the radiographs independently, on 2 separate occasions, at least 2 weeks apart. Interobserver and intraobserver agreement and validity were analyzed, using weighted κ statistics. The mean κ value for interobserver agreement was found to be 0.69 (0.63-0.72) for consultants and 0.61 (0.56-0.65) for the trainees, both representing substantial agreement...
June 2012: Journal of Arthroplasty
Keith Holley, Jonathan Zelken, Douglas Padgett, George Chimento, Andrew Yun, Robert Buly
The medical records and radiographs of 99 patients treated for a periprosthetic femur fracture after total hip arthroplasty over a 17-year period at a single institution were prospectively reviewed. Fractures were classified according to the Vancouver system and stratified as to treatment method. Sixty-six patients had complete records available and a minimum of 12 months follow-up. Overall, 86% of the patients achieved fracture union. The success rate of cemented revision in the B2 and B3 groups was 84%, whereas cement-less revision was 86% successful...
September 2007: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
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