Periprosthetic Femur Fracture

  • synonyms:
  • ICD-9=
  • Vancover grading system for periprosthetic THA fx

Periprosthetic Femur Fx Classification / Treatment

  • Vancouver classification
  • Type A=proximal to prosthesis (trochanteric region_:
  • Type B1=fracture around the stem or at the tip of the stem with component solidly fixed.
    -Treatment=plating vs allograft strut
  • Type B2=femor fracture around or just distal to a loose stem with adequate proximal bone stock.
    -Treatment= revision with long porous-coated cylindrical stem.
  • Type B3=femor fracture around or just distal to a loose stem with poor proxmial bone
    -Treatment: revision to long stem prosthesis +/- bone grafting/strutt. Consider proximal femoral replacement for elderly inactive patients. (Klein GR, JBJS 2005;87Am:1777).
  • Type C=distal to prosthesis, treated independently

Periprosthetic Treatment

Lateral locked plating with indirect reduction (Ricci WM, JOT 2006;20:190).

Periprosthetic Femur Fracture Review References

  • Duncan CP, ICL 1995;44:293
  • Parvizi J, JBJS 2004;86A:8
  • Younger AS, ICL 1998;74:251
  • Lee SR, ICL 2004;53:111

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