The influence of the operation technique and implant used in the treatment of periprosthetic hip and interprosthetic femur fractures: a systematic literature review of 1571 cases

Archives of Orthopaedic and Trauma Surgery
Karl StoffelAlexander Joeris

Abstract

A systematic literature review on periprosthetic/interprosthetic fracture fixation after hip arthroplasties was performed to summarize available clinical data. Operation techniques and implants used were evaluated as possible risk factors for outcomes. MEDLINE and Cochrane databases were searched. Articles describing patients with postoperative periprosthetic femur fractures sustained around a hip arthroplasty and with interprosthetic fractures treated with plates, nails, screws and/or cerclage were included. Considered articles were from 2000 or newer. Eligible abstracts were screened by two independent persons and discrepancies were resolved by consensus. Absolute numbers of complications and/or reoperation events along with their corresponding rates were calculated according to operation technique and type of implant. Relative risks of having a complication and/or a reoperation according to the operation technique and the type of implant used were estimated. Available data from 49 prospective and retrospective studies were analyzed. Of 1574 fractures, 81.7 % were treated with plating. For 83.0 % of all fractures, an open approach was applied. The overall complication rate was 14.3 %. Fixation failure and nonunion were most o...Continue Reading

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Citations

Dec 1, 2017·Journal of Orthopaedic Trauma·Pratik KanaburThomas E Shuler
Feb 17, 2018·Archives of Orthopaedic and Trauma Surgery·Tankamani SharmaAlexander Schuh
Oct 1, 2019·The Bone & Joint Journal·Samuel A MacKenzieChloe E H Scott
Jun 21, 2018·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Stefano BiggiStefano Tornago
Jul 22, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·José Vicente Andrés PeiróVicente Molero García
Feb 17, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·O PearceA Riddick
May 18, 2021·Indian Journal of Orthopaedics·Jehyun YooJihyo Hwang
Jul 2, 2021·The Bone & Joint Journal·Meagan E TibboMatthew P Abdel
Oct 20, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·François BonnometMatthieu Ehlinger

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