J Korean Fract Soc.  2022 Jan;35(1):16-20. 10.12671/jkfs.2022.35.1.16.

Recurrent Treatment Failure in Vancouver Classification Type C Periprosthetic Fractures around a Well Fixed Short Femoral Stem

• Choi BY
• Cho HM
• Park J

• KMID: 2525199
• DOI: http://doi.org/10.12671/jkfs.2022.35.1.16

Abstract

A short femoral stem (type 1 cementless stem) is being increasingly used to perform total hip arthroplasty; however, various types of intra- or postoperative periprosthetic fractures have been reported in recent times. A 66-year-old woman with a history of bilateral total hip arthroplasties using a type 1B femoral stem was admitted 2 months post-operation for a Vancouver type C periprosthetic fracture. She underwent open reduction and internal fixation; however, we observed recurrent non-union and plate breakage at the same site. In this case report, we discuss the factors associated with treatment failure in patients with a Vancouver type C periprosthetic fracture following type 1 femoral stem im-plantation.

Keyword

Periprosthetic fractures; Femoral fractures; Arthroplasty; Replacement; Hip; Treatment failure