dc.contributor.author |
Smitham, Peter J |
en |
dc.contributor.author |
Carbone, Tania A |
en |
dc.contributor.author |
Bolam, Scott M |
en |
dc.contributor.author |
Kim, Young S |
en |
dc.contributor.author |
Callary, Stuart A |
en |
dc.contributor.author |
Costi, Kerry |
en |
dc.contributor.author |
Howie, Donald W |
en |
dc.contributor.author |
Munro, Jacob |
en |
dc.contributor.author |
Solomon, Lucian B |
en |
dc.date.accessioned |
2020-09-17T04:49:04Z |
en |
dc.date.available |
2020-09-17T04:49:04Z |
en |
dc.date.issued |
2019-07 |
en |
dc.identifier.issn |
0883-5403 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/52931 |
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 |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
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 |
http://purl.org/eprint/accessRights/RestrictedAccess |
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 |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Surgery Department |
en |
dc.identifier.eissn |
1532-8406 |
en |
pubs.record-created-at-source-date |
2019-04-09 |
en |
pubs.dimensions-id |
30956048 |
en |