The use of uncemented extensively porous-coated femoral components in the management of Vancouver type B2 periprosthetic femoral fractures.
- Author:
Pei-Liang FU
1
;
Hai-Shan WU
;
Xiao-Hua LI
;
Qi-Rong QIAN
;
Yu-Li WU
;
Yun-Li ZHU
;
Yi CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Arthroplasty, Replacement, Hip; Female; Femoral Fractures; surgery; Follow-Up Studies; Hip Prosthesis; Humans; Male; Middle Aged; Periprosthetic Fractures; surgery; Prosthesis Design; Reoperation; instrumentation; methods; Retrospective Studies; Treatment Outcome
- From: Chinese Journal of Surgery 2009;47(3):181-184
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo assess the outcome of patients with Vancouver type B2 periprosthetic fractures treated with femoral revision using an uncemented extensively porous-coated implant.
METHODSFrom October 2002 to May 2007, a retrospective clinical and radiographic assessment of 10 patients with Vancouver type B2 periprosthetic fractures treated with femoral revision was evaluated, among which 4 was cement fixation, 6 was non-cement fixation in the index procedure.
RESULTSThe mean follow-up for these patients was 44 months (range, 12 to 67 months). The mean Harris hip score was 87.6 points. All 10 reconstructions showed solid fracture union and a stable prosthesis, 8 was bone ingrowth, 2 was fibrous ingrowth. Complications in 4 patients included thigh pain in 1, stress shield in 3.
CONCLUSIONSVancouver type B2 periprosthetic fractures treated with uncemented extensively porous-coated femoral stems incorporate distally allowing stable fixation.