Cable plating with a single strut allograft in the treatment of periprosthetic fractures of the femur

Manara, J; Mathews, John; Sandhu, H

doi:10.1177/1120700018761519

Cited by 4 publications

(3 citation statements)

References 45 publications

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“…1 ). Among 39 studies, 10 articles compared the results of Vancouver B1 PFFs treated with ORIF with that of B2 PFFs, and were included in a pair-wise meta-analysis 4 6 7 8 9 16 17 18 21 22) . Twenty-five single cohort studies 1 2 5 20 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43) reported outcomes after surgery for treatment of Vancouver B1 PFFs, and four single cohort studies with Vancouver B2 44 45 46 47) .…”

Section: Resultsmentioning

confidence: 99%

Open Reduction and Internal Fixation for Vancouver B1 and B2 Periprosthetic Femoral Fractures: A Proportional Meta-Analysis

Yoon,

Park,

Roh

2023

Hip & Pelvis

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Purpose Periprosthetic femoral fracture (PFF) is a common complication after total hip arthroplasty, and open reduction and internal fixation (ORIF) is a common surgical treatment. We conducted a meta-analysis to compare the outcomes of ORIF in patients with different fracture patterns (Vancouver B1 and B2). Materials and Methods We conducted a systematic search of PubMed, Embase, Cochrane Library and KoreaMed from inception to August 2022. We conducted a pair-wise meta-analysis (with a fixed-effects model) on the 10 comparative studies and a proportional meta-analysis on the data from the 39 articles to determine a consensus. The outcomes were the incidence of reoperations that included osteosynthesis, irrigation/debridement and revision arthroplasty. Results The pair-wise meta-analysis showed similar outcomes between two groups; the risk of reoperation (odds ratio [OR]=0.82, confidence interval [CI] 0.43-1.55, P =0.542), nonunion (OR=0.49; CI 0.22-1.10, P =0.085) and deep infection (OR=1.89, CI 0.48-7.46, P =0.361). In proportion meta-analysis, pooled prevalence of reoperation was 9% (95% CI, 6-12) in B1 and 8% (95% CI, 2-15) in B2 (heterogeneity between two groups (Q), P =0.772). The pooled prevalence of nonunion was same as of 4% in B1 and B2 (Q, P =0.678), and deep infection was 2% (95% CI, 1-3) in B1 and 4% (95% CI, 2-7) in B2 (Q, P =0.130). Conclusion ORIF is a feasible treatment for B1 and B2 periprosthetic femoral fractures, with acceptable outcomes in terms of, nonunion and infection. The results of this study would help clinicians and provide baseline data for further studies validating PFF.

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Section: Resultsmentioning

confidence: 99%

Open Reduction and Internal Fixation for Vancouver B1 and B2 Periprosthetic Femoral Fractures: A Proportional Meta-Analysis

Yoon,

Park,

Roh

2023

Hip & Pelvis

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“…Interestingly, functional outcomes of our population with APFF were worse compared to an elderly population with THA (OHS: 34.3 vs. 19.2, respectively), 34 but close to that reported for hip PFF treated using similar techniques (OHS 34.3 vs. 32, respectively). 54…”

Section: Discussionmentioning

confidence: 99%

“…19 Interestingly, functional outcomes of our population with APFF were worse compared to an elderly population with THA (OHS: 34.3 vs. 19.2, respectively), 34 but close to that reported for hip PFF treated using similar techniques (OHS 34.3 vs. 32, respectively). 54 In conclusion, the orthopaedic surgeon must consider APFF as a separate entity resembling AFF more than PFF. From the first observation, the surgeon must consider APFF as a non-union of PFF in a practical perspective.…”

Section: In 2005mentioning

confidence: 97%

Atypical periprosthetic femoral fractures of the hip: characterisation of three cases

et al. 2020

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Introduction: Long-term use of bisphosphonates (BPs) has been associated with a specific type of tensile side femoral stress fracture known as Atypical Femoral Fracture (AFF). Theoretically periprosthetic femoral fractures (PFF) should be excluded from the diagnosis of AFF. However, emerging evidence correlates prolonged BPs use with the occurrence of a type of PFF with an atypical pattern (atypical PFF, APFF). The aim of the present study is to report 3 cases of APFF treated at a single centre. Methods: Clinical and radiographic records of PFF that occurred between January 2016 and August 2018 were retrospectively reviewed. All patients meeting the American Society for Bone and Mineral Research (ASBMR) criteria for definition of PFF were included. Management strategies for APFF and patient outcomes, including fracture healing and hip function (assessed by the Oxford Hip Score [OHS]) were collected. Results: 3 patients in the study period were identified as APFF (1 incomplete, 2 complete). All patients were females with a mean age of 83.3 years. All patients were treated with lateral plating. The application of a contralateral strut allograft resulted in fracture healing in cases of complete fractures. Mean OHS at final follow-up was 34.3. Conclusions: Despite occurring around a hip stem like PFF, APFF had peculiar clinical and radiographic features, making them more similar to AFF. Therefore, the orthopaedic surgeon should also consider the natural history and healing problems associated with AFF prior in order to choose the most appropriate management for APFF.

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Incidence, Classification, and Risk Factors for Intraoperative Periprosthetic Femoral Fractures in Patients Undergoing Total Hip Arthroplasty With a Single Stem: A Retrospective Study

Liu¹,

Ma²,

et al. 2019

The Journal of Arthroplasty

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Cable plating with a single strut allograft in the treatment of periprosthetic fractures of the femur

Cited by 4 publications

References 45 publications

Open Reduction and Internal Fixation for Vancouver B1 and B2 Periprosthetic Femoral Fractures: A Proportional Meta-Analysis

Open Reduction and Internal Fixation for Vancouver B1 and B2 Periprosthetic Femoral Fractures: A Proportional Meta-Analysis

Atypical periprosthetic femoral fractures of the hip: characterisation of three cases

Incidence, Classification, and Risk Factors for Intraoperative Periprosthetic Femoral Fractures in Patients Undergoing Total Hip Arthroplasty With a Single Stem: A Retrospective Study

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