Periprosthetic fractures of the proximal femur: Beyond the Vancouver classification

Karl Stoffel; Tamara Horn; Luigi Zagra; Michael Mueller; Carsten Perka; Henrik Eckardt

doi:10.1302/2058-5241.5.190086

Periprosthetic fractures of the proximal femur: Beyond the Vancouver classification

Karl Stoffel, Tamara Horn, Luigi Zagra, Michael Mueller, Carsten Perka, Henrik Eckardt

IRCCS Istituto Ortopedico Galeazzi

Research output: Contribution to journal › Article › peer-review

Abstract

The majority of periprosthetic femoral fractures are treated surgically. Surgical treatment may be revision only, revision in combination with open reduction and internal fixation (ORIF), or ORIF only. The treatment decision is dependent on whether the stem is loose or not, but loose stems are not always identified, resulting in unsatisfactory treatments. This article presents an algorithmic approach to identifying loose stems around proximal femoral periprosthetic fractures, taking patient history, stem design, and plain radiographs into consideration. This approach may help identifying loose stems and increase the probability of effective treatments.

Original language	English
Pages (from-to)	449-456
Number of pages	8
Journal	EFORT Open Reviews
Volume	5
Issue number	7
DOIs	https://doi.org/10.1302/2058-5241.5.190086
Publication status	Published - 2020

Keywords

Algorithm
Loose stem
Periprosthetic femoral fracture
Revision total hip arthroplasty

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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title = "Periprosthetic fractures of the proximal femur: Beyond the Vancouver classification",

abstract = "The majority of periprosthetic femoral fractures are treated surgically. Surgical treatment may be revision only, revision in combination with open reduction and internal fixation (ORIF), or ORIF only. The treatment decision is dependent on whether the stem is loose or not, but loose stems are not always identified, resulting in unsatisfactory treatments. This article presents an algorithmic approach to identifying loose stems around proximal femoral periprosthetic fractures, taking patient history, stem design, and plain radiographs into consideration. This approach may help identifying loose stems and increase the probability of effective treatments.",

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AU - Perka, Carsten

AU - Eckardt, Henrik

N1 - Funding Information: No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. Publisher Copyright: © 2020 The author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.

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