J Korean Orthop Assoc.  2021 Jun;56(3):200-207. 10.4055/jkoa.2021.56.3.200.

Decision-Making and Principle of Management in Periprosthetic Femoral Fracture after Total Hip Arthroplasty

Affiliations
  • 1Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea

Abstract

Periprosthetic femoral fractures remain as one of the most challenging complications following total hip arthroplasty. A thorough clinical and radiographic evaluation, precise classification, and understanding of modern management principles are essential to obtain optimal results for these fractures. The Vancouver classification system is a simple, effective, and reproducible method for the planning treatments of these injuries. The fractures associated with a stable femoral stem can be treated effectively with osteosynthesis, but periprosthetic femoral fractures associated with a loose stem require revision arthroplasty. This paper describes the principle of the treatment of patients with periprosthetic femoral fractures and how to assess the stability of the femoral stem.

Keyword

hip joint; arthroplasty; femur; periprosthetic fractures; decision making; treatment
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