Title: An algorithm for the surgical treatment of periprosthetic fractures of the femur around a well-fixed femoral component
Authors: Corten, Kristoff ×
Vanrykel, F
Bellemans, Johan
Reynders-Frederix, Peter
Simon, Jean-Pierre
Broos, Paul #
Issue Date: Nov-2009
Publisher: Published for the British Editorial Society of Bone & Joint Surgery by Churchill Livingstone
Series Title: Journal of Bone and Joint Surgery. British Volume vol:91 issue:11 pages:1424-1430
Abstract: The use of plate-and-cable constructs to treat periprosthetic fractures around a well-fixed femoral component in total hip replacements has been reported to have high rates of failure. Our aim was to evaluate the results of a surgical treatment algorithm to use these lateral constructs reliably in Vancouver type-B1 and type-C fractures. The joint was dislocated and the stability of the femoral component was meticulously evaluated in 45 type-B1 fractures. This led to the identification of nine (20%) unstable components. The fracture was considered to be suitable for single plate-and-cable fixation by a direct reduction technique if the integrity of the medial cortex could be restored. Union was achieved in 29 of 30 fractures (97%) at a mean of 6.4 months (3 to 30) in 29 type-B1 and five type-C fractures. Three patients developed an infection and one construct failed. Using this algorithm plate-and-cable constructs can be used safely, but indirect reduction with minimal soft-tissue damage could lead to shorter times to union and lower rates of complications.
ISSN: 0301-620X
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Clinical Residents Medicine
Orthopaedics Section (-)
Traumatology Section (-)
× corresponding author
# (joint) last author

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