Impaction Bone Grafting for the Treatment of Vancouver Type B3 Periprosthetic Femoral Fractures. Survivorship and Complication Rate Analysis

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Fernando Díaz Dilernia
José Ignacio Oñativia
Pablo Slullitel
Martín Buttaro

Abstract

Aims: Because the gold standard for the treatment of Vancouver type B3 periprosthetic femoral fractures (PFFs) is yet to be defined, we sought to analyze the complication rate of the impaction bone grafting (IBG) technique with a cemented stem for the treatment of this fractures.
Materials and Methods: We retrospectively studied 33 B3 PFFs treated with the IBG technique operatedbetween 2000 and 2016, analyzing the complication rate. The median follow-up was 75 months (interquartile range [IQR], 36-111). The median age was 78 years (IQR, 74-83). The median grade of EndoKlink femoral bone defect was 3 (IQR, 3-3). We performed a multiple regression analysis to determine risk factors for complications, including the following variables: number of previous surgeries, femoral head diameter, and femoral bone defect.
Results: As for infection outcomes, 2-stage revision surgery was performed in 4 patients. We registered 5 implant failures and 2 dislocations in the whole series. Multiple regression analysis showed a significant association between the grade of EndoKlink femoral bone defect and complication rate (P=0.04).
Conclusion: Femoral reconstruction with the IBG technique evidenced a high complication rate for the treatment of B3 PFF.

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How to Cite
Díaz Dilernia, F., Oñativia, J. I., Slullitel, P., & Buttaro, M. (2021). Impaction Bone Grafting for the Treatment of Vancouver Type B3 Periprosthetic Femoral Fractures. Survivorship and Complication Rate Analysis. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 86(6), 737-746. https://doi.org/10.15417/issn.1852-7434.2021.86.6.1280
Section
Clinical Research
Author Biographies

Fernando Díaz Dilernia, Orthopedics and Traumatology Service, Hospital General de Agudos “Dr. Teodoro Álvarez”, Autonomous City of Buenos Aires, Argentina

Orthopedics and Traumatology Service, Hospital General de Agudos “Dr. Teodoro Álvarez”, Autonomous City of Buenos Aires, Argentina

José Ignacio Oñativia, Traumatología del Norte, Tucumán, Argentina

Traumatología del Norte, Tucumán, Argentina

Pablo Slullitel, Hip Center “Sir John Charnley”, Instituto de Ortopedia y Traumatología “Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Hip Center “Sir John Charnley”, Instituto de Ortopedia y Traumatología “Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Martín Buttaro, Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Hip Center “Sir John Charnley”, Orthopedics and Traumatology Institute “Carlos E. Ottolenghi”, Hospital Italiano de Buenos Aires, Autonomous City of Buenos Aires, Argentina

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