Home > Journals > Minerva Ortopedica e Traumatologica > Past Issues > Minerva Ortopedica e Traumatologica 2009 December;60(6) > Minerva Ortopedica e Traumatologica 2009 December;60(6):583-94

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe PROMO
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints

 

  ORTHOPEDIC TRAUMA UPDATE PARTE II 

Minerva Ortopedica e Traumatologica 2009 December;60(6):583-94

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Periprosthetic fractures about the femur in total hip replacement

Bingham D., Garino J., Lee G. C.

Department of Orthopedic Surgery, University of Pennsylvania School of Medicine Philadelphia, PA, USA


PDF


Periprosthetic fractures about the femur in Total Hip Arthroplasty are a difficult challenge facing surgeons, and one that is becoming more common as the arthroplasty population continues to grow. Proper treatment requires a comprehensive understanding of the different fracture patterns and the characteristics and potential pitfalls of each one. The authors suggest an algorithm of treatment based on the Vancouver classification. Fractures around the trochanters can often be treated non-surgically. Fractures about a stable prosthesis can be treated with surgical fixation, while fractures around a loose stem require a combination of fracture fixation and revision to a long stem. A particularly difficult subset of fractures combines a loose stem with significant proximal bone loss. These can be treated with a tumor prosthesis or a long, distally fixed stem combined with structural allograft or impaction grafting.

top of page