Total hip arthroplasty for failed acetabular fracture: a double-center comparative study on failed proximal femur fracture

Moon, Joonoh; Lee, Ho; Yoon, Pil Whan; Park, Ki Chul; Chang, Jae Suk; Kim, Ji Wan

doi:10.1007/s00068-021-01744-7

Cited by 1 publication

(1 citation statement)

References 28 publications

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“…However, evidence from comparison of the outcomes of ORIF for B1 and B2 PFFs is limited. B1 PFFs show a stable fracture pattern without significant bone loss, whereas B2 PFFs are unstable and associated with bone loss, which can make ORIF more challenging 13 14 15) .…”

Section: Introductionmentioning

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: Introductionmentioning

confidence: 99%