Cement-in-cement versus uncemented modular stem revision for Vancouver B2 periprosthetic fractures.

Authors :: Kennedy JW
Hrycaiczuk A
Ng NYB
Sheerins O
Patil SR
Jones BG
Stark A
Meek RMD
Source :: Journal of orthopaedics [J Orthop] 2022 Mar 26; Vol. 31, pp. 124-128. Date of Electronic Publication: 2022 Mar 26 (Print Publication: 2022).
Publication Year :: 2022
Abstract: Background: To compare outcomes of revision to a long uncemented stem with cement-in-cement revision for Vancouver B2 periprosthetic fracture (PPF). Methods: Patients undergoing surgery for a Vancouver B2 PPF in a cemented stem from 2008 to 2018 were identified using our prospectively collated database. Results: We identified 43 uncemented and 29 cement-in-cement revisions. Cement-in-cement revision had a shorter operative time, reduction in certain complications, no increased rate of non-union, lower degree of stem subsidence and no difference in re-revision rate. Conclusion: With appropriate patient selection, both cement-in-cement and long uncemented stem revision represent appropriate treatment options for Vancouver B2 fractures. Competing Interests: None. (© 2022 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.)

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