Treatment of femoral periprosthetic fracture of Vancouver type B1 and C with bridge combined internal fixation system.
10.12200/j.issn.1003-0034.2020.04.016
- Author:
Yi-Ping WENG
1
;
Zhong-Jie YU
1
;
Rong-Bin SUN
1
;
Nan-Wei XU
1
;
Yu ZHANG
1
Author Information
1. Department of Orthopaedics, Changzhou 2nd People's Hospital Affilited to Nanjin Medcial University, Changzhou 213003, Jiangsu, China.
- Publication Type:Journal Article
- Keywords:
Arthroplasty, replacement, hip;
Fracture fixation, internal;
Periprosthetic fractures
- MeSH:
Aged;
Arthroplasty, Replacement, Hip;
Bone Plates;
Female;
Femoral Fractures;
surgery;
Fracture Fixation, Internal;
Fracture Healing;
Humans;
Male;
Periprosthetic Fractures;
surgery;
Radiography;
Reoperation;
Retrospective Studies;
Treatment Outcome
- From:
China Journal of Orthopaedics and Traumatology
2020;33(4):371-375
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the clinical effect of bridge combined internal fixation system in the treatment of periprosthesis fracture of femur after hip replacement.
METHODS:From October 2016 to June 2018, 5 patients of periprosthesis fractures of femur classified type B1 and type C in Vancouver were treated by open reduction and bridging combined with internal fixation, including 2 males and 3 females, with ages of 68, 70, 74, 75, 79 years;type B1 fractures in 4 and type C fractures in 1. Causes of injury:1 case of traffic injury, 4 cases of fall. After the operation, the patients were followed up for complications and fracture healing time by clinical and imaging examination, and Parker activity score was performed.
RESULTS:The wounds of 5 patients healed without infection. One case of DVT was confirmed by venography. Five patients were followed up, and the durations were 2, 8, 9, 10, 15 months. One patient died of myocardial infarction 2 months after operation. The average healing time was 12.5 weeks. No loss of reduction or failure of internal fixation was found. Two patients could walk without protection and 1 patient needed to rely on single crutch. One case of periprosthetic fracture had to walk with a single crutch before operation and move indoors with two crutches after operation. The average Parker activity score was 51.8% before operation.
CONCLUSION:The bridge combined internal fixation system can be used to fix the fracture after hip replacement with stable femoral prosthesis.
