PERIPROSTHETIC FRACTURES OF THE FEMUR COMPLICATING TOTAL HIP REPLACEMENT
Abstract:
The increase in total hip replacement (THR) rates and rising life expectancy made periprosthetic femoral fractures after THR more common. In this study we evaluated the results of treating these types of fractures using the Vancouver group recommendations. We assessed a consecutive series of 39 periprosthetic femur fractures after THR (23 women, 16 men aged 66±7 years) treated by the same operative team between 2000 and 2009 and followed for a mean of 84 months (42- 148). Fractures were classified according to the Vancouver system and treated non-operatively, with open reduction and internal fixation or with revision surgery. We obtained a 84.61% union rate with initial treatment that increased to 97.43% after the second procedure, with fracture union in the majority of cases with a stable implant and a 25.64% complication rate. Based on our results, we support the use of the Vancouver system as a treatment algorithm in these cases.
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