Incidence and demographics of 1751 surgically treated periprosthetic femoral fractures around a primary hip prosthesis

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
Georgios ChatziagorouJohan Kärrholm

Abstract

Periprosthetic femoral fractures (PPFF), treated surgically, have been recorded in the Swedish Hip Arthroplasty Register (SHAR) since 1979. It is postulated that fractures treated with other methods other than stem revision have a lower registration rate, which may lead to incomplete registry data and thus, inaccurate information. We collected all PPFFs surgically treated in Sweden between 2001 and 2011 with the purpose of studying the annual incidence, demographics and distribution of fracture types with regard to type of fixation. Data was linked between the SHAR and the National Patient Register (NPR) in order to detect even those PPFFs not reported to the SHAR. Fractures were classified according to the Vancouver classification system, based on information collected from the medical charts. This procedure was validated with observer variation analysis compared to fracture classification based on radiographs. In total 1751 first-time PPFFs around primary conventional stems were included. The incidence of PPFF increased from about 1.0 per 1000 primary THRs to 1.4. Vancouver type C fractures (37% of all fractures) were more common than previously reported, and more common in cemented than in uncemented stems. The 3 most common...Continue Reading

References

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Dec 7, 2007·The Journal of Bone and Joint Surgery. American Volume·Timothy BhattacharyyaHenrik Malchau
Dec 2, 2008·The Journal of Bone and Joint Surgery. British Volume·F RayanF S Haddad
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Nov 21, 2014·BMC Musculoskeletal Disorders·J Viktor LindgrenGöran Garellick

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Citations

Sep 27, 2018·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Giuseppe MarongiuAntonio Capone
Dec 14, 2019·Osteoporosis International : a Journal Established As Result of Cooperation Between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA·C H ValaD Mellström
Nov 2, 2019·ANZ Journal of Surgery·Harry ConstantinIan A Harris
Oct 1, 2019·The Journal of Bone and Joint Surgery. American Volume·Mengnai Li, Andrew Glassman
Dec 1, 2020·The Bone & Joint Journal·Tanvir KhanBenjamin J Ollivere
Jun 10, 2021·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Martin ThalerLuigi Zagra

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Methods Mentioned

BETA
primary hip arthroplasties
Primary hip arthroplasty

Software Mentioned

SPSS

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