Periprosthetic Fractures of the Femur After Hip Arthroplasty: An Analysis of 99 Patients

HSS Journal


Douglas E. Padgett, MD

Chief of the Hip Service, Associate Attending Orthopedic Surgeon, Hospital for Special Surgery

Robert L. Buly, MD

Associate Attending Orthopaedic Surgeon, Hospital for Special Surgery
Associate Professor of Clinical Orthopedic Surgery, Weill Cornell Medical College

Keith Holley, MD
Department of Orthopaedic Surgery, Naval Medical Center, San Diego, CA

Jonathan Zelken, BA
Department of Orthopaedic Surgery, Hospital for Special Surgery

George Chimento, MD
Department of Orthopaedic Surgery, Hospital for Special Surgery

Andrew Yun, MD
Department of Orthopaedic Surgery, Hospital for Special Surgery

Abstract:
The medical records and radiographs of ninety-nine patients treated for a periprosthetic femur fracture after THA over a 17 year period at a single institution were prospectively reviewed.  Fractures were classified according to the Vancouver system and stratified as to treatment method.  Sixty-six patients had complete records available and a minimum of twelve months follow-up.  Overall, 86% of patients achieved fracture union. The success rate of cemented revision in the B2 and B3 groups was 84%, while cementless revision was 86% successful. The complication rate of surgical treatment was 29%.  Fracture union with a stable implant was possible in the majority of cases.  Our results support the use of the Vancouver classification as a treatment algorithm.

This article appears in HSS Journal: Volume 3, Number 2.
View the full article at springerlink.com.

About the HSS Journal
HSS Journal, an academic peer-reviewed journal, is published twice a year, February and September, and features articles by internal faculty and HSS alumni that present current research and clinical work in the field of musculoskeletal medicine performed at HSS, including research articles, surgical procedures, and case reports.


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