Journal
INTERNATIONAL ORTHOPAEDICS
Volume 39, Issue 9, Pages 1873-1879Publisher
SPRINGER
DOI: 10.1007/s00264-014-2617-2
Keywords
Periprosthetic fracture; Hip; THA; Vancouver classification; Type B; Unified Classification System; Treatment; Revision
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The incidence of periprosthetic fractures around total hip arthroplasty is increasing as patient longevity rises and the number of patients with hip implants continues to grow. Type B1 periprosthetic femoral fractures are associated with a well-fixed stem and have traditionally been treated with internal fixation. However, there are a subset of these fractures which fare badly when internal fixation is undertaken, and revision of the femoral component to a long-stemmed implant may be more appropriate. We look at the traditional methods of fixation, and the evidence and indications for revision of these fractures.
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