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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.
- 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