Impaction bone grafting for periprosthetic fractures around a total hip arthroplasty

Youssef, Bishoy; Pavlou, George; Shah, Nikhil; Macheras, George A.; Tsiridis, Eleftherios

doi:10.1016/j.injury.2014.07.028

Cited by 7 publications

(2 citation statements)

References 51 publications

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“…The femur of this case also had adverse conditions. As this case was classified as Type B3 with the Vancouver classification, using a long stem revision with mesh, impaction bone grafting, and strut allografting was conceivable [ 19 ]. These procedures for the femur were not impossible.…”

Section: Discussionmentioning

confidence: 99%

Severe osteolysis and periprosthetic femoral fracture 45 years after acrylic hemiarthroplasty of the hip: a case report

Ishikura

Nakamura

Matsuda

et al. 2021

BMC Musculoskelet Disord

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Background Hip arthroplasty using acrylic prosthesis was once conducted; however, it has now been abandoned because of early breakages and wear of material. Therefore, complications or revision surgeries due to the use of acrylic prostheses are becoming rare. Case presentation A 76-year-old woman presented with a sudden onset of severe pain in her left femur while walking. Radiographs revealed severe osteolysis and periprosthetic femoral fracture 45 years after the initial hemiarthroplasty using an acrylic prosthesis. We performed a Girdlestone resection arthroplasty by removing the prosthesis and fixing the fracture site using an intramedullary nail and metal plate. The patient was pain-free in her hip and leg 2 years and 9 months after the surgery. Although she walked with a cane or crutches, no postoperative complications were observed. Conclusions The combined use of an intramedullary nail and plate fixation with resection arthroplasty could offer acceptable results for patients with severe osteolysis and periprosthetic fracture after femoral head replacement using an acrylic prosthesis. Our report seems relevant because it not only reminds us of the significant steps made in the development of modern total hip arthroplasty; it also highlights one of the surgical options for severe osteolysis and periprosthetic fracture of the hip.

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Section: Discussionmentioning

confidence: 99%

Severe osteolysis and periprosthetic femoral fracture 45 years after acrylic hemiarthroplasty of the hip: a case report

Ishikura

Nakamura

Matsuda

et al. 2021

BMC Musculoskelet Disord

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“…Impaction bone grafting with morselized allograft can also be used in young patients in whom the reconstitution of bone stock is important for any future revision, but this usually involves the use of a long cemented stem. 56 …”

Section: Managementmentioning

confidence: 99%

Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes

Lamb

Palan

et al. 2020

EFORT Open Reviews

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The rising incidence of postoperative periprosthetic femoral fracture (PFF) presents a significant clinical and economic burden. A detailed understanding of risk factors is required in order to guide preventative strategies. Different femoral stems have unique characteristics and management strategies must be tailored appropriately. Consensus regarding treatment of PFFs around well-fixed stems is lacking, but revision surgery may provide more predictable outcomes for unstable fracture patterns and fractures around polished taper-slip stems. Future research should focus on implant-related risk factors, treatment of concurrent metabolic bone disease and the use of large endoprostheses. Cite this article: EFORT Open Rev 2020;5:558-567. DOI: 10.1302/2058-5241.5.200003

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Periprosthetic Femur Fractures Around Total Hip Arthroplasty with a Loose Component

Rozell

Donegan

2018

Periprosthetic Fractures of the Hip and Knee

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Impaction bone grafting for periprosthetic fractures around a total hip arthroplasty

Cited by 7 publications

References 51 publications

Severe osteolysis and periprosthetic femoral fracture 45 years after acrylic hemiarthroplasty of the hip: a case report

Severe osteolysis and periprosthetic femoral fracture 45 years after acrylic hemiarthroplasty of the hip: a case report

Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes

Periprosthetic Femur Fractures Around Total Hip Arthroplasty with a Loose Component

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