Distal fixation with Wagner revision stem in treating Vancouver type B2 periprosthetic femur fractures in geriatric patients.

Abstract

Periprosthetic fractures around hip prostheses are difficult problems. We reviewed the results of treatment with Wagner revision stems in geriatric patients (> or = 65 years old) with Vancouver type B2 periprosthetic fractures. Over a 5-year period, 14 patients with Vancouver's type B2 periprosthetic fractures in the proximal femur were revised. The mean follow-up for these patients was 58.5 months (range, 36 to 64 months). The average age was 74.5 years (67 to 83 years). Twelve patients were available for assessment; all 12 reconstructions showed a stable prosthesis and solid fracture union. Seven patients had excellent outcome, 3 had a good outcome, and 2 had a poor outcome. Our series shows that the Wagner revision stem is a satisfactory prosthesis in revision of Vancouver type B2 periprosthetic fractures in geriatric patients.