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Review
. 2020 Sep 30;5(9):558-567.
doi: 10.1302/2058-5241.5.200003. eCollection 2020 Sep.

Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes

Ashoklal Ramavath  1 , Jonathan N Lamb  1   2 , Jeya Palan  1 , Hemant G Pandit  1   2 , Sameer Jain  1
Affiliations
Review

Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes

Ashoklal Ramavath et al. EFORT Open Rev. .

Abstract

The rising incidence of postoperative periprosthetic femoral fracture (PFF) presents a significant clinical and economic burden.A detailed understanding of risk factors is required in order to guide preventative strategies.Different femoral stems have unique characteristics and management strategies must be tailored appropriately.Consensus regarding treatment of PFFs around well-fixed stems is lacking, but revision surgery may provide more predictable outcomes for unstable fracture patterns and fractures around polished taper-slip stems.Future research should focus on implant-related risk factors, treatment of concurrent metabolic bone disease and the use of large endoprostheses. Cite this article: EFORT Open Rev 2020;5:558-567. DOI: 10.1302/2058-5241.5.200003.

Keywords: current concepts; periprosthetic fracture; risk factors; surgical treatment; total hip replacement.

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Figures

Fig. 1
Fig. 1
Plain radiographs demonstrating collarless non-grit blasted cementless stems. (a) Triple-tapered stem. (b) Blade-type stem.
Fig. 2
Fig. 2
(a) Unstable transverse B1 periprosthetic femoral fracture. (b) Unstable transverse B1 periprosthetic femoral fracture treated with extended trochanteric osteotomy to remove proximal cement, modular tapered cementless stem and cement-in-cement constrained acetabular component exchange.
Fig. 3
Fig. 3
(a) Type B2 periprosthetic femoral fracture around cemented polished taper-slip stem. (b) Type B2 periprosthetic femoral fracture around cemented polished taper-slip stem treated with cement-in-cement stem exchange and internal fixation with non-contact bridging locking plate.
See this image and copyright information in PMC

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