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The Journal of Bone and Joint Surgery (American). 2004;86:8-16
© 2004 The Journal of Bone and Joint Surgery, Inc.

Treatment Protocol for Proximal Femoral Periprosthetic Fractures

Javad Parvizi, MD, FRCS, Venkat R. Rapuri, MD, James J. Purtill, MD, Peter F. Sharkey, MD, Richard H. Rothman, MD, PHD and William J. Hozack, MD

Corresponding author:
William J. Hozack, MD
Rothman Institute of Orthopaedics, 925 Chestnut Street,
Philadelphia, PA 19107. E-mail address:
william.hozack@rothmaninstitute.com

The first 150 words of the full text of this article appear below.


   Introduction
 
The outcome of an otherwise successful total hip arthroplasty is occasionally compromised by complications. Fracture around the femoral stem is a rare but potentially problematic complication of total hip arthroplasty. Such fractures can range from being minor, with minimal or no effect on the outcome, to being catastrophic and possibly creating an unreconstructable problem with an immense effect on the patient's function.

The prevalence of periprosthetic fractures is on the rise. Periprosthetic fractures of the femur are more frequent during arthroplasties performed without cement and following revision total hip arthroplasties. Currently, the prevalence of femoral fractures has been estimated to range from 0.1% to 3.2% for primary total hip arthroplasties without cement and from 3% to 12% for revisions performed with cement1. The introduction of uncemented press-fit stems has resulted in a substantial increase in intraoperative fracture rates, ranging from 3% to 46%1. With the substantial increase in . . . [Full Text of this Article]


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