Results of an operative policy in the treatment of periprosthetic femoral fracture

Journal of Orthopaedic Trauma
G J McLauchlanJ Christie

Abstract

To determine the clinical outcome of patients with periprosthetic femoral fractures treated operatively. Retrospective analysis from 1986 to 1993. Edinburgh Orthopaedic Trauma Unit, Edinburgh, Scotland. Forty-five patients identified from a computer database as being admitted to the Edinburgh Orthopaedic Trauma Unit with periprosthetic femoral fractures. Clinical outcome grade (good, fair, poor) dependent on integrity of fixation, refracture rate, and ability to perform activities of daily living analyzed against age, type of fracture, prosthetic alignment, loosening, and method of fixation. Type I fractures were more common in uncemented or loosely cemented prostheses, whereas type II fractures occurred predominantly in securely cemented prostheses. Type I fractures treated by revision had the poorest results. Outcome in type II fractures was equally good whether treated by internal fixation or by revision. Age, loosening, and prosthetic alignment did not influence outcome. The mortality rate in this series was 20%. If a prosthesis is loose, it should be revised, or treatment varies with fracture and prosthetic type. In type I fractures, an uncemented stem may be revised to a cemented one; however, a securely cemented prosthes...Continue Reading

Citations

Aug 5, 2003·International Orthopaedics·Roope SarvilinnaK Jorma J Pajamäki
Jan 20, 2007·Zeitschrift für Rheumatologie·G Pap, H W Neumann
Mar 17, 2004·Acta Orthopaedica Scandinavica·Roope SarvilinnaK Jorma K Pajamäki
Jun 17, 2003·Acta Orthopaedica Scandinavica·Bertram BardenFranz Löer
Sep 15, 2004·The Orthopedic Clinics of North America·Paul J DuweliusJay B V Butler
Feb 20, 2007·Injury·R G ZuurmondA D Verburg
Apr 10, 1999·The Orthopedic Clinics of North America·S W O'Driscoll, B F Morrey
Sep 4, 2015·Geriatric Orthopaedic Surgery & Rehabilitation·J Tristan CassidyPaddy Kenny
May 25, 2006·Clinical Orthopaedics and Related Research·Robert V O'TooleMark S Vrahas
Dec 17, 2009·Foot & Ankle International·Kurt T HaendlmayerNick J Harris
Sep 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Darin DavidsonBassam A Masri
Dec 5, 1998·Journal of Orthopaedic Trauma·S PonzerH Törnkvist
Sep 2, 2008·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·R G ZuurmondN Verdonschot

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.