Treatment of periprosthetic femoral shaft nonunion

The Journal of Arthroplasty
Alpesh A PatelJohn C Clohisy

Abstract

The purpose of this study is to review the contemporary treatment of periprosthetic femoral shaft nonunions. Thirteen periprosthetic femoral shaft nonunions in 13 patients were reviewed retrospectively. The average follow-up was 48.3 months. Five patients were treated with open reduction and internal fixation, 3 patients were treated with open reduction and internal fixation and prosthesis revision, and 5 were treated with partial femoral replacing prosthesis. Functional outcomes were assessed using a modified Harris hip score. Twelve of 13 nonunions were treated successfully as defined by either radiographic union or a well-functioning prosthesis. Four major complications, 2 requiring reoperation, were noted. These included persistent nonunion, dislocation, and new periprosthetic fracture. Successful treatment of periprosthetic femoral shaft nonunion yielded excellent pain relief, improved function, and patient satisfaction. However, complication and reoperation rates remain high.

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Citations

Oct 22, 2009·International Orthopaedics·Ippokratis PountosPeter V Giannoudis
Mar 16, 2013·The Journal of Arthroplasty·Marc SoenenBernardo Innocenti
May 8, 2020·Orthopedics·Krishna C VemulapalliMark R Brinker
Jun 3, 2017·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Christopher E BirchCraig S Bartlett Rd

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