Periprosthetic femoral fracture around the stem of Total Hip Arthroplasty

  • Khare A Director Global Hospital, Ujjain, India
Keywords: Total hip arthroplasty, periprosthetic femoral fractures, Vancouver classification

Abstract

Introduction: Fractures occurring over a hip femoral implant can be divided into intra-operative and post-operative PFFs, and their treatment depends on factors that may severely affect the outcome: level of fracture, implant stability, quality of bone stock, patient’s functional demand, age and comorbidities, and surgeon expertise. Here, we are discussing the results of management of periprosthetic femoral fractures.

Material and method: Eleven patients of periprosthetic femoral fractures were operated in our hospital in last 3 years. Patients were followed up regularly. Their results were assessed by modified harris hip score. Two fractures were Type A, seven cases were type B and one case was type C fractures. Type A fractures were managed by cables and stainless-steel wires. Type B fractures were managed by long plates, and type C fracture was managed by distal femoral locking plate.

Results: Results were assessed by modified harris hip score. It was found excellent in 3 cases, good in 7 cases and fair in one patient.

Conclusion: In the presence of a well-fixed stem there are various options for retaining the implant and reduction and fixation of the fracture, but loose implants require revision arthroplasty and internal fixation. Future large-scale randomised trials are needed to determine the optimum fixation option with an aim to reduce these complications.

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References

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Published
2024-12-31
How to Cite
1.
Khare A. Periprosthetic femoral fracture around the stem of Total Hip Arthroplasty. ojmpc [Internet]. 2024Dec.31 [cited 2024Dec.21];30(2):50-4. Available from: https://ojmpc.com/index.php/ojmpc/article/view/192
Issue
Vol 30 No 2 (2024): Jul-Dec
Section
Original Article
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