Treatment of types B2 and B3 periprosthetic hip fractures with distal fixation cementless stem.
Article Sidebar
Published:
Nov 8, 2016
Keywords:
Periprosthetic fracture, femoral revision, cementless stem.
Main Article Content
Abstract
Introduction: Periprosthetic hip fracture is the third most common cause of hip revision, behind aseptic loosening and infection. Fractures presenting in combination with a loose stem (B2) or poor bone stock (B3) should be revised.Methods: We retrospectively evaluated 38 patients with types B2 and B3 periprosthetic hip fractures that had been treated with distal fixation cementless stem without bone graft or a plate. Follow-up averaged 2.5 years (range 1.5-10).Results: The mean postoperative Harris Hip Score was 69 points (range 57-91). Fracture consolidation was achieved in all patients. Implant survival at last follow-up was 94.8%. Complications were: one (2.6%) stem subsidence, one (2.6%) dislocation, two (5.2%) infections and one (2.6%) hematoma.Conclusion: Hip revision in the set of types B2 and B3 periprosthetic fracture with distal fixation cementless stem without bone graft is an effective technique.
Downloads
Download data is not yet available.
Metrics
Metrics Loading ...
Article Details
How to Cite
Pereira, S., Allende, B. L., Bidolegui, F. M., & Vindver, G. I. (2016). Treatment of types B2 and B3 periprosthetic hip fractures with distal fixation cementless stem. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 81(4), 287-293. https://doi.org/10.15417/592
Issue
Section
Clinical Research
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.
In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.
It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.
The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.
References
1. Malchau H, Herberts P, Eisler T. The Swedish total hip replacement register. J Bone Joint Surg Am. 2002;84-A (Suppl. 2):2.
2. Johansson JE, McBroom R, Barrington TW, Hunter GA. Fracture of the ipsilat- eral femur in patients with total hip replacement. J Bone Joint Surg [Am] 1981;63- A:1435–1442.
3. Bhattacharyya T, Chang D, Meigs JB, Estok DM, Malchau H. Mortality after periprosthetic fracture of the femur. J Bone Joint Surg [Am] 2007;89-A:2658–2662.
4. Duncan CP, Masri BA. Fractures of the femur after hip repleacement. Instr Course Lect. 1995;44:293-304
5. Haddad FS, Marston RA, Muirhead- Allwood SK: The Dall-Miles cable and plate system for periprosthetic femoral fractures. Injury 1997;28:445-447.
6. Haddad FS, Duncan CP, Berry DJ, Lewallen DG, Gross AE, Chandler HP: Periprosthetic femoral fractures around well-fixed implants: Use of cortical onlay allografts with or without a plate. J Bone Joint Surg Am 2002;84:945-950.
7. Park MS, Lim YJ, Chung WC, Ham DH, Lee SH: Management of periprosthetic femur fractures treated with distal fixation using a modular femoral stem using a anterolateral approach. J Arthroplasty. 2009;8:1270-1276.
8. Linhal H, Garellick G, Regner H, Herberts P, Malchau H. Three hundred and twenty-one periprosthetic femoral fracture. J Bone Joint Surg Am. 2006;Jun 88:1215-1222.
9. Springer BD, Berry D, Lewallen DG. Treatment of periprosthetic femoral fractures following total hip arthroplasty with femoral component revisión. J. Bone Joint Surg Am. 2003;85:2156-2162.
10. Macdonald SJ, Paprosky WG, Jablonsky WS, Ware HE: Periprosthetic femoral fracture treated with a long-stem cementless component. J Arthtroplasty 16:379-383,2001
11. Malkani AL, Settecerri JJ, Sim FH: Long-term results of J Bone Joint Surg Br 77:351-356, 1995.
12. Malkani AL, Paiso JM, Sim FH, Proximal femoral repleacement with megaprothesis. Instr. Course Lect 49:141-146, 2000
13. Maury AC, Pressman A, Cayen B, Zalzal P, Backstein D, Gross A: Proximal femoral allograft treatment of Vancouver type-B3 periprosthetic femoral fractures after total hip arthroplasty. J Bone Joint Surg Am. 2006;88(5):953-8.
14. Mulay S, Hassn T, Birtwistle S, Power R. Management of type B2 and B3 femoral periprosthetic fractures by a tapered, fluted and distally fixed stem. The Journal of Arthroplasty.2005;Vol 20:No 6
15. Neumann D, Thaler C, Dorn U. Management of Vancouver B2 and B3 femoral periprosthetic fractures using a modular cementless stem without allografting. International Orthopedics. 2012;36:1045-1050.
16. Berry DJ. Treatment of Vancouver B3 periprosthetic femur fractures with a fluted tapered stem. Clin Orthop Relat Res 2003;417:224–231.
17. Bidolegui FM, Pereira S, Lugones A, Pereira H, Vindver G. Revisión acetabular con conservación del componente metálico osteointegrado y cementado de un componente de polietileno Reporte de una serie de 40 casos. Rev Asoc Argent Ortop Traumatol 2013; 78: 190-198.
18. Malchau H1, Kärrholm J, Wang YX, Herberts P. Accuracy of migration analysis in hip arthroplasty. Digitized and conventional radiography, compared to radiostereometry in 51 patients. Acta Orthop Scand. 1995; 66(5):418-24.
19. Harris WH. Traumatic arthitis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. J Bone Joint Surg Am. 1969;51A:737-745
20. Younger TI, Bradford MS, Magnus RE, Paprosky W. Extended proximal femoral osteotomy. A new technique for femoral revisión arthroplasty. J arthroplasty. 1995;10:329-338.
21. Garabano G, Pesciallo CA, Nazur G, Arroquy D, Del Sel H. Tratamiento de las fracturas periprotésicas de fémur Vancouver B2 y B3. Rev Asoc Argent Ortop Traumatol 2012;77:252-9.
22. Gomez HA. Fracturas periprotésicas de la cadera. Rev Asoc Argent Ortop Traumatol 2011;76:84-193.
23- Olivetto R, Roitman G. Fracturas femorales periprotésicas. Rev Asoc Argent Ortop Traumatol 2007;72:123-9
24. Beals RK, Tower SS. Periprosthetic fractures of the femur: an analysis of 93 fractures. Clin Orthop.1996;327:238-244.
25. Richards Corey, Duncan Clive, Masri Bassam, Garbuz Donald: Femoral Revision Hip Arthroplasty. A comparision of two stem designs. Clin Orthop Relat Res 2010, 468:491-496
26. Cross MB, Paprosky WG. Managing femoral bone loss in revision total hip replacement: fluted tapered modular stems. Bone Joint J 2013;95-B:95–97.
2. Johansson JE, McBroom R, Barrington TW, Hunter GA. Fracture of the ipsilat- eral femur in patients with total hip replacement. J Bone Joint Surg [Am] 1981;63- A:1435–1442.
3. Bhattacharyya T, Chang D, Meigs JB, Estok DM, Malchau H. Mortality after periprosthetic fracture of the femur. J Bone Joint Surg [Am] 2007;89-A:2658–2662.
4. Duncan CP, Masri BA. Fractures of the femur after hip repleacement. Instr Course Lect. 1995;44:293-304
5. Haddad FS, Marston RA, Muirhead- Allwood SK: The Dall-Miles cable and plate system for periprosthetic femoral fractures. Injury 1997;28:445-447.
6. Haddad FS, Duncan CP, Berry DJ, Lewallen DG, Gross AE, Chandler HP: Periprosthetic femoral fractures around well-fixed implants: Use of cortical onlay allografts with or without a plate. J Bone Joint Surg Am 2002;84:945-950.
7. Park MS, Lim YJ, Chung WC, Ham DH, Lee SH: Management of periprosthetic femur fractures treated with distal fixation using a modular femoral stem using a anterolateral approach. J Arthroplasty. 2009;8:1270-1276.
8. Linhal H, Garellick G, Regner H, Herberts P, Malchau H. Three hundred and twenty-one periprosthetic femoral fracture. J Bone Joint Surg Am. 2006;Jun 88:1215-1222.
9. Springer BD, Berry D, Lewallen DG. Treatment of periprosthetic femoral fractures following total hip arthroplasty with femoral component revisión. J. Bone Joint Surg Am. 2003;85:2156-2162.
10. Macdonald SJ, Paprosky WG, Jablonsky WS, Ware HE: Periprosthetic femoral fracture treated with a long-stem cementless component. J Arthtroplasty 16:379-383,2001
11. Malkani AL, Settecerri JJ, Sim FH: Long-term results of J Bone Joint Surg Br 77:351-356, 1995.
12. Malkani AL, Paiso JM, Sim FH, Proximal femoral repleacement with megaprothesis. Instr. Course Lect 49:141-146, 2000
13. Maury AC, Pressman A, Cayen B, Zalzal P, Backstein D, Gross A: Proximal femoral allograft treatment of Vancouver type-B3 periprosthetic femoral fractures after total hip arthroplasty. J Bone Joint Surg Am. 2006;88(5):953-8.
14. Mulay S, Hassn T, Birtwistle S, Power R. Management of type B2 and B3 femoral periprosthetic fractures by a tapered, fluted and distally fixed stem. The Journal of Arthroplasty.2005;Vol 20:No 6
15. Neumann D, Thaler C, Dorn U. Management of Vancouver B2 and B3 femoral periprosthetic fractures using a modular cementless stem without allografting. International Orthopedics. 2012;36:1045-1050.
16. Berry DJ. Treatment of Vancouver B3 periprosthetic femur fractures with a fluted tapered stem. Clin Orthop Relat Res 2003;417:224–231.
17. Bidolegui FM, Pereira S, Lugones A, Pereira H, Vindver G. Revisión acetabular con conservación del componente metálico osteointegrado y cementado de un componente de polietileno Reporte de una serie de 40 casos. Rev Asoc Argent Ortop Traumatol 2013; 78: 190-198.
18. Malchau H1, Kärrholm J, Wang YX, Herberts P. Accuracy of migration analysis in hip arthroplasty. Digitized and conventional radiography, compared to radiostereometry in 51 patients. Acta Orthop Scand. 1995; 66(5):418-24.
19. Harris WH. Traumatic arthitis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. J Bone Joint Surg Am. 1969;51A:737-745
20. Younger TI, Bradford MS, Magnus RE, Paprosky W. Extended proximal femoral osteotomy. A new technique for femoral revisión arthroplasty. J arthroplasty. 1995;10:329-338.
21. Garabano G, Pesciallo CA, Nazur G, Arroquy D, Del Sel H. Tratamiento de las fracturas periprotésicas de fémur Vancouver B2 y B3. Rev Asoc Argent Ortop Traumatol 2012;77:252-9.
22. Gomez HA. Fracturas periprotésicas de la cadera. Rev Asoc Argent Ortop Traumatol 2011;76:84-193.
23- Olivetto R, Roitman G. Fracturas femorales periprotésicas. Rev Asoc Argent Ortop Traumatol 2007;72:123-9
24. Beals RK, Tower SS. Periprosthetic fractures of the femur: an analysis of 93 fractures. Clin Orthop.1996;327:238-244.
25. Richards Corey, Duncan Clive, Masri Bassam, Garbuz Donald: Femoral Revision Hip Arthroplasty. A comparision of two stem designs. Clin Orthop Relat Res 2010, 468:491-496
26. Cross MB, Paprosky WG. Managing femoral bone loss in revision total hip replacement: fluted tapered modular stems. Bone Joint J 2013;95-B:95–97.