Treatment of Periprosthetic Femoral Fractures after Hip Arthroplasty
10.12671/jkfs.2020.33.1.43
- Author:
Jung Hoon CHOI
1
;
Jong Hyuk JEON
;
Kyung Jae LEE
Author Information
1. Department of Orthopedic Surgery, Keimyung University School of Medicine, Daegu, Korea. dream21jh@naver.com
- Publication Type:Review
- Keywords:
Femur;
Periprosthetic fracture;
Hip arthroplasty;
Vancouver classification
- MeSH:
Arthroplasty;
Classification;
Femoral Fractures;
Femur;
Hip;
Humans;
Incidence;
Methods;
Periprosthetic Fractures
- From:Journal of the Korean Fracture Society
2020;33(1):43-51
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Although the incidence of postoperative periprosthetic femoral fractures after hip arthroplasty is expected to increase, these complex fractures are still challenging complications. To obtain optimal results for these fractures, thorough clinical and radiographic evaluation, precise classification, and understanding of modern management principles are mandatory. The Vancouver classification system is a simple, effective, and reproducible method for planning proper treatments of these injuries. The fractures associated with a stable femoral stem can be effectively treated with osteosynthesis, though periprosthetic femoral fractures associated with a loose stem require revision arthroplasty. We describe here the principles of proper treatment for the patients with periprosthetic femoral fractures as well as how to avoid complications.
