Management of Vancouver Type-B2 and B3 Periprosthetic Femoral Fractures: Restoring Femoral Length via Preoperative Planning and Surgical Execution Using a Cementless, Tapered, Fluted Stem.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 30233962.
- Also identified by DOI 10.2106/JBJS.ST.17.00007 and PMC identifier 6132713.
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Abstract
Periprosthetic femoral fractures, which are likely to increase as the population ages and total hip arthroplasty becomes more prevalent<sup>1</sup>, can be effectively managed by restoring femoral length via preoperative planning and surgical execution using a cementless, tapered, fluted stem. Template the contralateral, uninjured side. Identify the ideal COR on the injured side and template the femoral stem. Use stem templates to establish a reference point on the reamer for use intraoperatively, and identify the distance from that point to an identifiable distal landmark. We report on 14 (12 Vancouver type-B2 and 2 Vancouver type-B3) periprosthetic femoral fractures treated with the described method<sup>15</sup>.
Anatomy
- femur