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Management of Vancouver B2 and B3 Periprosthetic Proximal Femoral Fractures by Distal Locking Femoral Stem (Cannulok) in Patients 75 Years and Older.

Authors :
El-Bakoury, Ahmed
Hosny, Hazem
Williams, Mark
Keenan, Jonathan
Yarlagadda, Rathan
Source :
Journal of Arthroplasty; Feb2017, Vol. 32 Issue 2, p541-545, 5p
Publication Year :
2017

Abstract

<bold>Background: </bold>Periprosthetic fracture following total hip arthroplasty is a significant problem faced by hip surgeons, and its management in elderly patients remains a considerable challenge.<bold>Methods: </bold>We retrospectively reviewed 28 Vancouver B2 and B3 periprosthetic femoral fractures (PFF) treated with revision of the femoral stems by distally locked, hydroxyapatite-coated uncemented stems (Cannulok). Patients were aged 75 years or older at the time of surgery.<bold>Results: </bold>The mean follow-up was 44.6 months (range, 24-102). The mean postoperative Oxford hip score was 30.1 (range, 10-46). The rate of fracture union was 95.8%, and the survivorship of the stem was 100% at the end of follow-up.<bold>Conclusion: </bold>The management of PFF in elderly is associated with increased postoperative morbidity and mortality. The use of a distally locked, hydroxyapatite-coated femoral stem is a valid option for the treatment of PFF to achieve fracture union with a low rate of revision. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
08835403
Volume :
32
Issue :
2
Database :
Supplemental Index
Journal :
Journal of Arthroplasty
Publication Type :
Academic Journal
Accession number :
120833082
Full Text :
https://doi.org/10.1016/j.arth.2016.07.022