A prospective, modernized treatment protocol for periprosthetic femur fractures

The Orthopedic Clinics of North America
Paul J DuweliusJay B V Butler

Abstract

This article reports a prospective series of periprosthetic femur fractures in 33 patients treated with a modernized fracture treatment protocol. Some form of operative treatment was selected prospectively based on the categorization of the fracture by the Duncan-Vancouver and Beals-Tower Oregon classification systems. Fractures in which the prosthesis-bone interface was stable were treated with open reduction and internal fixation of the fracture around the stable implant. Unstable prosthesis-bone interfaces required removal of the primary prosthesis and revision to an uncemented long-stem prosthesis after stabilization of the femoral fracture with plates or allograft struts. Complications were minimal over an average follow-up period of 28.3 months; restoration of function was predictable.

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Citations

Dec 5, 2006·Archives of Orthopaedic and Trauma Surgery·Stefan PiatekStephan Winckler
Jun 2, 2005·International Orthopaedics·B C H van der WalA J Tonino
Dec 7, 2007·Archives of Orthopaedic and Trauma Surgery·B C H van der WalA J Tonino
Jun 20, 2006·The Journal of Arthroplasty·Aaron G Rosenberg
Jan 30, 2015·Clinical Orthopaedics and Related Research·Stephen PrestonJames Howard
Apr 22, 2015·Archives of Orthopaedic and Trauma Surgery·Suk Kyu ChooHyoung-Keun Oh
Jan 20, 2007·Zeitschrift für Rheumatologie·G Pap, H W Neumann
Apr 10, 2013·Geriatric Orthopaedic Surgery & Rehabilitation·Daniel Marsland, Simon C Mears
May 16, 2007·ANZ Journal of Surgery·Simon W YoungRocco P Pitto
Jun 10, 2010·American Journal of Physical Medicine & Rehabilitation·Jaspal R SinghPasqual Colavita
Sep 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Darin DavidsonBassam A Masri
May 20, 2011·Journal of Orthopaedic Trauma·Gregory J Della RoccaHans-Christoph Pape
Feb 25, 2006·The Journal of Bone and Joint Surgery. British Volume·S A SextonF S Haddad
Nov 3, 2009·The Journal of the American Academy of Orthopaedic Surgeons·Jeffrey PikeBassam A Masri
Jan 22, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Ahmed SiddiqiNicolas S Piuzzi

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