Treatment of periprosthetic femoral fractures after femoral revision using a long stem

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Treatment of periprosthetic femoral fractures after femoral revision using a long stem

BACKGROUND Periprosthetic femoral fractures are becoming increasingly common and are a major complication of total hip arthroplasty and hemiarthroplasty. The treatment of periprosthetic femoral fracture after femoral revision using a long stem is more complex and challenging. The purpose of this study was to identify the clinical and radiographical features of periprosthetic femoral fractures a...

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Impaction femoral allografting and cemented revision for periprosthetic femoral fractures.

We reviewed retrospectively the outcome of the treatment by impaction grafting of periprosthetic femoral fractures around loose stems in 106 patients with Vancouver type-B2 and type-B3 fractures. Eighty-nine patients had a cemented revision with impaction grafting and a long or short stem. The remaining 17 had cemented revision without impaction grafting. Fractures treated by impaction grafting...

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Cement-in-cement stem revision for Vancouver type B periprosthetic femoral fractures after total hip arthroplasty

BACKGROUND AND PURPOSE Revision surgery for periprosthetic femoral fractures around an unstable cemented femoral stem traditionally requires removal of existing cement. We propose a new technique whereby a well-fixed cement mantle can be retained in cases with simple fractures that can be reduced anatomically when a cemented revision is planned. This technique is well established in femoral ste...

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Postresurfacing periprosthetic femoral neck fractures: nonoperative treatment.

Femoral neck fractures after total hip resurfacing procedures occur infrequently but require immediate orthopedic intervention. Historically, they have been treated by conversion to traditional total hip arthroplasty. However, to the authors' knowledge, no treatment algorithm has ever been described. The authors have directly treated or consulted on 13 cases of periprosthetic femoral neck fract...

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Management of periprosthetic femoral fractures after total knee arthroplasty using a distal femoral allograft.

This study is a review and discussion of 12 consecutive patients who were revised with a distal femoral allograft for periprosthetic supracondylar fractures of the femur associated with poor bone quality by the same surgeon between 1990 and 2001. Two were lost to follow-up. The average age was 65 years, and the mean follow up was 6 years. Charts were reviewed to identify complications and graft...

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ژورنال

عنوان ژورنال: BMC Musculoskeletal Disorders

سال: 2015

ISSN: 1471-2474

DOI: 10.1186/s12891-015-0565-7