Periprosthetic femoral fractures treated with a long-stem cementless component

Periprosthetic femoral fractures can be a difficult management problem. Proximal femoral fractures with a loose component are managed best with revision arthroplasty. We reviewed the midterm follow-up of 14 proximal femoral fractures managed with a long-stem extensively porous-coated femoral compone...

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Bibliographic Details
Published in:The Journal of arthroplasty 2001-04, Vol.16 (3), p.379-383
Main Authors: MacDonald, Steven J., Paprosky, Wayne G., Jablonsky, Warren S., Magnus, Robert G.
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement, Hip
Female
Femoral Fractures - etiology
Femoral Fractures - surgery
Follow-Up Studies
Fracture Fixation - methods
Humans
long-stem extensively porous-coated implant
Male
Middle Aged
periprosthetic femoral fracture
Postoperative Complications
Prostheses and Implants
Reoperation
revision
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Summary:Periprosthetic femoral fractures can be a difficult management problem. Proximal femoral fractures with a loose component are managed best with revision arthroplasty. We reviewed the midterm follow-up of 14 proximal femoral fractures managed with a long-stem extensively porous-coated femoral component. The average follow-up in this series was 8.2 years (minimum, 5.3 years). Fractures were treated with open reduction and internal fixation, supplemental cortical strut grafting when required, and a canal-filling implant. All fractures achieved union with an average time to union of 4 months. There have been no component failures requiring revision. Twelve prostheses achieved stable bone ingrowth, 1 component showed stable fibrous ingrowth, and 1 component was not stable but was not symptomatic enough to warrant revision.
ISSN:0883-5403
1532-8406
DOI:10.1054/arth.2001.20536