New fracture pattern focusing on implant fracture for periprosthetic femoral fractures

Purpose The Vancouver Classification System (VCS) for assessing periprosthetic femoral fractures has become universally accepted. The Unified Classification System (UCS) has expanded upon and updated the VCS and applied treatment principles to all periprosthetic fractures. However, periprosthetic fe...

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Bibliographic Details
Published in:International orthopaedics 2015-09, Vol.39 (9), p.1765-1769
Main Authors: Huang, Jie-Feng, Shen, Jian-Jian, Chen, Jun-Jie, Zheng, Yang, Du, Wen-Xi, Liu, Fu-Cun, Tong, Pei-Jian
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement, Hip - adverse effects
Databases, Factual
Femoral Fractures - classification
Femoral Fractures - surgery
Femur - injuries
Femur - surgery
Hip Prosthesis - adverse effects
Humans
Medicine
Medicine & Public Health
Original Paper
Orthopedics
Periprosthetic Fractures - classification
Periprosthetic Fractures - surgery
Prosthesis Failure
Retrospective Studies
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Summary:Purpose The Vancouver Classification System (VCS) for assessing periprosthetic femoral fractures has become universally accepted. The Unified Classification System (UCS) has expanded upon and updated the VCS and applied treatment principles to all periprosthetic fractures. However, periprosthetic femoral fractures accompanied by stem fracture after hip arthroplasty were not classifiable under the original VCS or the UCS. Results Our new fracture pattern is based on the periprosthetic femoral fracture as well as stem fracture after hip arthroplasty, and its treatment is dependent upon the stability of the proximal portion of the fractured femoral prosthesis. Conclusion We believe that our new fracture pattern, a supplement to the VCS and UCS, is useful in the establishment of a therapeutic strategy for periprosthetic femoral fractures.
ISSN:0341-2695
1432-5195
DOI:10.1007/s00264-015-2830-7