|
The Journal of Bone and Joint Surgery, Vol 63, Issue 9 1435-1442, Copyright © 1981 by Journal of Bone and Joint Surgery, Inc
Fracture of the ipsilateral femur in patients wih total hip replacement
JE Johansson, R McBroom, TW Barrington and GA Hunter
The records of all patients who had had a total hip replacement complicated
to a fracture of the ipsilateral femur in the intraoperative or
postoperative period were collected from six London and Toronto teaching
hospitals. Thirty-five patients (thirty-seven fractures) were studied to
determine the effects of the fracture on the total hip replacement. The
results of the total hip replacement ultimately were rated as satisfactory
in fourteen patients (40 per cent) and unsatisfactory in twenty-one
patients (60 per cent). Our study suggests that fractures proximal to the
tip of the prosthetic stem that occur postoperatively should be treated
conservatively if the prosthesis is intact. If subsequent symptomatic
loosening develops, a revision can be done after the fracture has healed.
Intraoperative fractures that occur proximal to the tip of the prosthesis
and all fractures occurring at or distal to the tip should be stabilized
surgically. The best results were obtained using a long-stem prosthesis
supplemented with internal fixation of the fracture. If rigid fixation is
not achieved at surgery, postoperative immobilization is required.
Fractures entirely distal to the tip of the prosthesis do not result in
prosthetic loosening and may be treated in a routine fashion if care is
taken to avoid unnecessary areas of stress concentration.
 CiteULike  Connotea  Del.icio.us  Facebook  Technorati  Twitter What's this?
This article has been cited by other articles:
|
|
|
|
 
R. Zdero, R. Walker, J. P. Waddell, and E. H. Schemitsch
Biomechanical Evaluation of Periprosthetic Femoral Fracture Fixation
J. Bone Joint Surg. Am.,
May 1, 2008;
90(5):
1068 - 1077.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
F. Wadia, N. Shah, and M. Porter
Bilateral Charnley Low-Friction Arthroplasty with Cement in a Patient with Pyknodysostosis. A Case Report
J. Bone Joint Surg. Am.,
August 1, 2006;
88(8):
1846 - 1848.
[Full Text]
[PDF]
|
|
|
|
|
|
|
A. C. Maury, A. Pressman, B. Cayen, P. Zalzal, D. Backstein, and A. Gross
Proximal Femoral Allograft Treatment of Vancouver Type-B3 Periprosthetic Femoral Fractures After Total Hip Arthroplasty
J. Bone Joint Surg. Am.,
May 1, 2006;
88(5):
953 - 958.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
K. O'Shea, J. F. Quinlan, S. Kutty, D. Mulcahy, and O. H. Brady
The use of uncemented extensively porous-coated femoral components in the management of Vancouver B2 and B3 periprosthetic femoral fractures
J Bone Joint Surg Br,
December 1, 2005;
87-B(12):
1617 - 1621.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. Parvizi, V. R. Rapuri, J. J. Purtill, P. F. Sharkey, R. H. Rothman, and W. J. Hozack
Treatment Protocol for Proximal Femoral Periprosthetic Fractures
J. Bone Joint Surg. Am.,
December 1, 2004;
86(suppl_2):
8 - 16.
[Full Text]
[PDF]
|
|
|
|
|
|
|
B. D. Springer, D. J. Berry, and D. G. Lewallen
Treatment of Periprosthetic Femoral Fractures Following Total Hip Arthroplasty with Femoral Component Revision
J. Bone Joint Surg. Am.,
November 1, 2003;
85(11):
2156 - 2162.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
U. Mennen, R. J.P. Noorda, and P. I.J.M. Wuisman
Mennen Plate Fixation for the Treatment of Periprosthetic Femoral Fractures * R.J.P. Noorda and P.I.J.M. Wuisman reply
J. Bone Joint Surg. Am.,
November 1, 2003;
85(11):
2248 - 2249.
[Full Text]
[PDF]
|
|
|
|
|
|
|
E. Tsiridis, A. Narvani, R. J.P. Noorda, and P. I.J.M. Wuisman
Mennen Plate Fixation for the Treatment of Periprosthetic Femoral Fractures
J. Bone Joint Surg. Am.,
September 1, 2003;
85(9):
1851 - 1851.
[Full Text]
|
|
|
|
|
|
|
K. J. Koval, R. Meek, E. Schemitsch, F. Liporace, E. Strauss, and J. D. Zuckerman
An AOA Critical Issue. Geriatric Trauma: Young Ideas
J. Bone Joint Surg. Am.,
July 3, 2003;
85(7):
1380 - 1388.
[Full Text]
[PDF]
|
|
|
|
|
|
|
Y.-H. Kim, S.-H. Oh, J.-S. Kim, and K.-H. Koo
Contemporary Total Hip Arthroplasty with and without Cement in Patients with Osteonecrosis of the Femoral Head
J. Bone Joint Surg. Am.,
March 31, 2003;
85(4):
675 - 681.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
R. J.P. Noorda and P. I.J.M. Wuisman
Mennen Plate Fixation for the Treatment of Periprosthetic Femoral Fractures: A Multicenter Study of Thirty-six Fractures
J. Bone Joint Surg. Am.,
December 9, 2002;
84(12):
2211 - 2215.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
C. M. Robinson, C. I. Adams, M. Craig, W. Doward, M. C.C. Clarke, and J. Auld
Implant-Related Fractures of the Femur Following Hip Fracture Surgery
J. Bone Joint Surg. Am.,
July 9, 2002;
84(7):
1116 - 1122.
[Abstract]
[Full Text]
[PDF]
|
|
|
|
|
|
|
J. R. CROCKARELL, D. J. BERRY, and D. G. LEWALLEN
Nonunion After Periprosthetic Femoral Fracture Associated with Total Hip Arthroplasty
J. Bone Joint Surg. Am.,
August 1, 1999;
81(8):
1073 - 79.
[Abstract]
[Full Text]
|
|
|
|
|
|
|
D. G. LEWALLEN and D. J. BERRY
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Periprosthetic Fracture of the Femur after Total Hip Arthroplasty. Treatment and Results to Date*{{dagger}}
J. Bone Joint Surg. Am.,
December 1, 1997;
79(12):
1881 - 90.
[Full Text]
|
|
|
|
|
|
|
H. P. CHANDLER and R. G. TIGGES
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - The Role of Allografts in the Treatment of Periprosthetic Femoral Fractures*{{dagger}}
J. Bone Joint Surg. Am.,
September 1, 1997;
79(9):
1422 - 32.
[Full Text]
|
|
|
|
|
|
|
C. A. PETERSON II and D. G. LEWALLEN
Periprosthetic Fracture of the Acetabulum after Total Hip Arthroplasty
J. Bone Joint Surg. Am.,
August 1, 1996;
78(8):
1206 - 13.
[Abstract]
[Full Text]
|
|
|
|
