Vancouver B2 Peri-Prosthetic Fractures in Cemented Femoral Implants can be Treated With Open Reduction and Internal Fixation Alone Without Revision.

Show simple item record Smitham, Peter J en Carbone, Tania A en Bolam, Scott M en Kim, Young S en Callary, Stuart A en Costi, Kerry en Howie, Donald W en Munro, Jacob en Solomon, Lucian B en 2020-09-17T04:49:04Z en 2020-09-17T04:49:04Z en 2019-07 en
dc.identifier.issn 0883-5403 en
dc.identifier.uri en
dc.description.abstract BACKGROUND:The aim of this study is to assess the outcomes of 52 consecutive Vancouver B2 peri-prosthetic fractures around cemented polished double-tapered stems treated by open reduction and internal fixation in 2 trauma centers in 2 countries. METHODS:Outcomes included modified Harris Hip Score (mHHS), Harris Pain Score, and return to pre-injury mobility. Fracture healing was assessed; implant subsidence measured and complications including re-operations reported. RESULTS:No patient was lost to follow-up. Median patient age at operation was 82 years (range 43-98); Harris pain scores showed minimal pain (median 42, range 10-44) at latest follow-up. Median total subsidence at 1 year was 1.1 mm (range 0-5.4), the majority of which occurred within the cement mantle. No subsequent femoral stem revision was required (median 2.9 years, 0-10); however, there were 3 re-operations: 1 re-operation for pre-existing recurrent dislocation involving head liner exchange and 2 for repeat fixation due to metal fatigue. Two additional fractures occurred below the new plating, requiring further plating whilst still retaining the original stems. CONCLUSION:Anatomical reduction and open reduction and internal fixation of Vancouver B2 peri-prosthetic fractures should be considered as an appropriate treatment solution for frail elderly patients with a peri-prosthetic fracture around cemented polished double-tapered stems. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries The Journal of arthroplasty en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.subject Femur en
dc.subject Humans en
dc.subject Femoral Fractures en
dc.subject Bone Cements en
dc.subject Arthroplasty, Replacement, Hip en
dc.subject Fracture Fixation, Internal en
dc.subject Reoperation en
dc.subject Retrospective Studies en
dc.subject Hip Prosthesis en
dc.subject Fracture Healing en
dc.subject Adult en
dc.subject Aged en
dc.subject Aged, 80 and over en
dc.subject Middle Aged en
dc.subject Female en
dc.subject Male en
dc.subject Periprosthetic Fractures en
dc.title Vancouver B2 Peri-Prosthetic Fractures in Cemented Femoral Implants can be Treated With Open Reduction and Internal Fixation Alone Without Revision. en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.arth.2019.03.003 en
pubs.issue 7 en
pubs.begin-page 1430 en
pubs.volume 34 en
dc.rights.holder Copyright: The author en
pubs.end-page 1434 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Research Support, Non-U.S. Gov't en
pubs.subtype Multicenter Study en
pubs.subtype Journal Article en
pubs.elements-id 769301 en Medical and Health Sciences en School of Medicine en Surgery Department en
dc.identifier.eissn 1532-8406 en
pubs.record-created-at-source-date 2019-04-09 en
pubs.dimensions-id 30956048 en

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