Article
Orthopedics
P. A. Slullitel, G. G. Garcia-Barreiro, J. Onativia, G. Zanotti, F. Comba, F. Piccaluga, M. A. Buttaro
Summary: The study aimed to compare the outcomes of internal fixation for Vancouver B2 periprosthetic femoral fractures with those of B1 fractures treated with internal fixation and B2 fractures treated with revision arthroplasty. Results showed similar implant survival rates among the different treatment groups, suggesting that low-demand patients with B2 fractures around well-cemented polished femoral components and intact bone-cement interfaces can safely undergo internal fixation.
BONE & JOINT JOURNAL
(2021)
Article
Orthopedics
Nicola Mondanelli, Andrea Facchini, Elisa Troiano, Francesco Muratori, Vanna Bottai, Stefano Giannotti
Summary: This study evaluated a series of PFFs in a single institution and found a small percentage of cases that met the criteria for PAFF. The prevalence of PAFFs was approximately 5.3%, and they were significantly associated with prolonged BP use and fractures occurring above the stem level.
JOURNAL OF ARTHROPLASTY
(2021)
Review
Orthopedics
J. L. Maggs, E. Swanton, S. L. Whitehouse, J. R. Howell, A. J. Timperley, M. J. W. Hubble, M. J. Wilson
Summary: This study aimed to classify and manage periprosthetic fractures around cemented femoral components by modifying the Vancouver classification. It found that fractures with well-fixed cement can be treated with cement-in-cement revision, while fractures with loose cement require revision arthroplasty. The subclassification of B2W and B2L fractures was endorsed for better management strategies in different fracture patterns.
BONE & JOINT JOURNAL
(2021)
Article
Orthopedics
Tyler E. Calkins, Devon D. Goetz, Jacob T. Zalewski, Caleb A. Jones, Peyton R. Gaumer, Marcus C. Ford, Patrick C. Toy, John R. Crockarell, James W. Harkess, William M. Mihalko, James L. Guyton
Summary: This study evaluated the influence of stem design on the risk of periprosthetic femoral fractures (PFFs) after total hip arthroplasty (THA). The results showed that compaction-collared stems had a significantly lower risk of postoperative Vancouver B PFF or other PFF requiring operative intervention compared to single-taper and double-taper stems.
JOURNAL OF ARTHROPLASTY
(2023)
Article
Orthopedics
Jae Hyeon Seo, Bum-Sik Lee, Jong-Min Kim, Jung Jae Kim, Ji Wan Kim
Summary: This study evaluated the outcomes of dual plating for unstable distal femoral fractures through a subgroup analysis of periprosthetic and non-periprosthetic fractures. The results showed that dual plating treatment had a high union rate and achieved good limb alignment with a low complication rate.
INTERNATIONAL ORTHOPAEDICS
(2022)
Article
Orthopedics
L. A. Ross, O. J. F. Keenan, M. Magill, C. M. Brennan, N. D. Clement, M. Moran, J. T. Patton, C. E. H. Scott
Summary: LLP fixation of low PDFFs is associated with higher reoperation rates compared to DFA, with significantly better five-year survival following DFA reoperation. There was no significant difference in endpoint mechanical failure between the two surgical treatments. Medial comminution was identified as a risk factor for reoperation following LLP-ORIF surgery, while anatomical reduction was found to be protective against reoperation.
BONE & JOINT JOURNAL
(2021)
Article
Critical Care Medicine
Giovanni Vicenti, Davide Bizzoca, Giuseppe Solarino, Massimiliano Carrozzo, Alberto Belluati, Antonio D'Arienzo, Oronzo De Carolis, Biagio Moretti
Summary: The present study aims to introduce an etiologic classification for PRFRs and provide surgical and pharmacological tips for the correct management of these injuries. PFRFs can be classified into traumatic-PFRFs and pathological-PFRFs. Traumatic-PFRFs are new fracture lines occurring proximally or distally to a previous periprosthetic fracture, while pathological-PFRFs occur in the same district of the previous periprosthetic non-union or delayed union. Successful surgical management requires the correct identification and prompt management of all underlying causes.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Medicine, General & Internal
Timothy Boddice, Peter Harrison, Christopher Anthony, Aaron B. Y. Ng
Summary: Surgery for periprosthetic fractures around a total hip replacement is highly specialised and can involve implant revision and fracture fixation. Delaying surgery does not increase mortality or complications but does increase length of stay. Further research is needed in this area.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Logan Windell, Ashwin Kulkarni, Enrique Alabort, Daniel Barba, Roger Reed, Harvinder P. Singh
Summary: The research compared the biomechanics of different types of hip arthroplasty implants in a composite model, finding that the CPT and C-Stem implants fractured at lower rotation and torque values and with less comminution. Therefore, the CPT implant carries a higher risk of PPFs.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Orthopedics
S. Jain, G. Mohrir, O. Townsend, J. N. Lamb, J. Palan, J. Aderinto, H. Pandit
Summary: This study aimed to assess the reliability and validity of the Unified Classification System (UCS) for postoperative periprosthetic femoral fractures (PFFs) around cemented polished taper-slip (PTS) stems. The UCS showed lower reliability and validity for PTS stems compared to other stem types, suggesting the need for improved classification methods for PFFs in these cases. Formal intraoperative testing of stem stability is recommended when dealing with PFFs around PTS stems.
BONE & JOINT JOURNAL
(2021)
Article
Orthopedics
David Gonzalez-Martin, Jose Luis Pais-Brito, Sergio Gonzalez-Casamayor, Ayron Guerra-Ferraz, Pablo Martin-Velez, Mario Herrera-Perez
Summary: This study compared stem revision and internal fixation in the treatment of periprosthetic hip fractures with a loose stem. Results showed that internal fixation required less surgery time, had a lower need for blood transfusions, and reduced hospital costs compared to stem revision.
JOURNAL OF ARTHROPLASTY
(2021)
Article
Multidisciplinary Sciences
Tomonori Baba, Masataka Uchino, Hironori Ochi, Takuya Ikuta, Yoshitomo Saita, Hiroshi Hagino, Hiroaki Nonomiya, Seiya Jingushi, Takayuki Nakajima, Yasuhisa Ueda, Kaneko Kazuo
Summary: This study conducted a nationwide survey to investigate the characteristics of atypical periprosthetic femoral fracture (APFF) and compare clinical outcomes with typical periprosthetic femoral fracture (typical PFF). The use of bisphosphonates and cemented stems were significantly higher in the APFF group compared to the typical PFF group. APFF was identified as an independent risk factor for complications following initial management in patients undergoing hip arthroplasty for fracture.
SCIENTIFIC REPORTS
(2021)
Article
Medicine, General & Internal
Thaqif El Khassawna, Gero Knapp, Nadja Scheibler, Deeksha Malhan, Nike Walter, Christoph Biehl, Volker Alt, Christian Heiss, Markus Rupp
Summary: Delayed surgery after 48 hours does not negatively affect mortality in patients with PFF; The Charlson Comorbidity Index (CCI) appears to be a suitable tool for assessing mortality risk in PFF patients, while the commonly used ASA score does not provide relevant risk assessment.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Engineering, Biomedical
N. S. Hennicke, M. Saemann, D. Kluess, R. Bader, M. Sander
Summary: Researchers used an advanced subject specific finite element modeling technique to study the formation and risk factors of periprosthetic femoral fractures around total hip replacements. By simulating stumbling and a sideways fall on the hip, they analyzed the effects and quantified the results using experimental data.
JOURNAL OF THE MECHANICAL BEHAVIOR OF BIOMEDICAL MATERIALS
(2022)
Article
Orthopedics
Charles P. Hannon, Kevin P. Sheehan, Stephanie Q. Duong, Brandon J. Yuan, David G. Lewallen, Daniel J. Berry, Matthew P. Abdel
Summary: This study investigated the treatment of Vancouver B-2 and B-3 periprosthetic femoral fractures using modular fluted tapered (MFT) stems in a large cohort. The results showed a high rate of fracture healing and reliable and durable implant fixation with no revisions for aseptic loosening. Dislocation and periprosthetic joint infection were the most common complications.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2022)