Revision total hip arthroplasty for a Vancouver type B3 periprosthetic fracture using an allograft-cemented stem composite by the telescoping technique.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20637558.
- Also identified by DOI 10.1016/j.arth.2010.05.012.
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Abstract
We describe a case of successful revision total hip arthroplasty for a Vancouver type B3 periprosthetic femoral fracture with extensive bone stock deficiency and osteoporotic diaphyseal bone. The femur was reconstructed with an allograft-cemented stem composite using a telescoping technique and a drainage hole for surplus cement. This procedure facilitated stable stem fixation to the host femur without cement interference and bony fusion between the allograft and host bone, as revealed by bone scintigraphy. This technique provides a surgical option for a severe periprosthetic femoral fracture in which the femoral diaphyseal bone is too osteoporotic to support the fixation of an allograft-cementless stem composite.
Medical subject headings
- Arthroplasty, Replacement, Hip
- Bone Cements
- Femoral Fractures
- Hip Prosthesis
- Periprosthetic Fractures
Anatomy
- femur
- hip