Revision total hip arthroplasty for a Vancouver type B3 periprosthetic fracture using an allograft-cemented stem composite by the telescoping technique

The Journal of Arthroplasty
Hiroyasu OgawaKatsuji Shimizu

Abstract

We describe a case of successful revision total hip arthroplasty for a Vancouver type B3 periprosthetic femoral fracture with extensive bone stock deficiency and osteoporotic diaphyseal bone. The femur was reconstructed with an allograft-cemented stem composite using a telescoping technique and a drainage hole for surplus cement. This procedure facilitated stable stem fixation to the host femur without cement interference and bony fusion between the allograft and host bone, as revealed by bone scintigraphy. This technique provides a surgical option for a severe periprosthetic femoral fracture in which the femoral diaphyseal bone is too osteoporotic to support the fixation of an allograft-cementless stem composite.

References

Oct 1, 1982·Clinical Orthopaedics and Related Research·J S BetheaR B Welch
Apr 18, 1998·The Journal of Bone and Joint Surgery. British Volume·A GiureaF Gottsauner-Wolf
Apr 10, 1999·The Orthopedic Clinics of North America·O H BradyC P Duncan
Sep 16, 2000·The Journal of Bone and Joint Surgery. British Volume·F S HaddadC P Duncan
Mar 27, 2001·The Journal of Bone and Joint Surgery. American Volume·H R BlackleyA E Gross
Nov 25, 2003·The Journal of Bone and Joint Surgery. American Volume·Bryan D SpringerDavid G Lewallen
May 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Anthony C MauryAllan Gross
Aug 22, 2007·Journal of Orthopaedic Surgery·S H ZakiB M Wroblewski

❮ Previous
Next ❯

Citations

Oct 12, 2012·Current Osteoporosis Reports·Clifford B Jones
Oct 2, 2012·Lancet·Robert PivecMichael A Mont
Jun 9, 2016·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Stephan BrandThomas Hassel
Nov 5, 2013·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Paul M DeardenPeter V Giannoudis

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.