TY - JOUR
T1 - Periprosthetic fractures of the proximal femur
T2 - Beyond the Vancouver classification
AU - Stoffel, Karl
AU - Horn, Tamara
AU - Zagra, Luigi
AU - Mueller, Michael
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.
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
KW - Algorithm
KW - Loose stem
KW - Periprosthetic femoral fracture
KW - Revision total hip arthroplasty
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U2 - 10.1302/2058-5241.5.190086
DO - 10.1302/2058-5241.5.190086
M3 - Article
AN - SCOPUS:85089529955
VL - 5
SP - 449
EP - 456
JO - EFORT Open Reviews
JF - EFORT Open Reviews
SN - 2058-5241
IS - 7
ER -