Document Detail

Periprosthetic femoral fractures: outcome after treatment with LISS internal fixation or stem replacement in 36 patients.
MedLine Citation:
PMID:  20166360     Owner:  NLM     Status:  MEDLINE    
Periprosthetic fractures of the femur present a challenging surgical problem. The aim of this study was to evaluate the outcome of periprosthetic femoral fractures (PFF) which were treated with internal fixation or stem revision. Depending on the fracture type in the Duncan-Vancouver-Classification, 42 patients with PFF were treated either with a Fixateur interne (n = 23) in cases with type B1 or C fractures, or with stem revision (n = 19) in cases with type B2/B3 fractures. Follow-up rate was 78% over 24 months. All but two fractures showed radiological signs of healing. Implant failure was noted in 4 cases in the LISS group. The Lysholm and Larson scores were respectively 75.5 and 71 in patients undergoing stem revision, versus 74.5 and 69 in those treated with LISS fixation. Even taking into account the higher risk of implant failure, the treatment with LISS internal fixation has shown to be a reasonable method in the treatment of periprosthetic fractures without stem loosening.
Michael M?ller; Max K??b; Stephan Tohtz; Norbert P Haas; Carsten Perka
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta orthopaedica Belgica     Volume:  75     ISSN:  0001-6462     ISO Abbreviation:  Acta Orthop Belg     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2010-02-19     Completed Date:  2010-03-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985165R     Medline TA:  Acta Orthop Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  776-83     Citation Subset:  IM    
Center for Musculoskeletal Surgery, CHARITE - University Medicine, Berlin, Germany.
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MeSH Terms
Aged, 80 and over
Femoral Fractures / radiography,  surgery*
Fracture Fixation, Internal
Middle Aged
Periprosthetic Fractures / radiography,  surgery*
Prosthesis Failure
Treatment Outcome

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