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Periprosthetic hip fractures: an update into their management and clinical outcomes
- Source :
- EFORT Open Reviews
- Publication Year :
- 2021
- Publisher :
- Bioscientifica, 2021.
-
Abstract
- The Vancouver classification is still a useful tool of communication and stratification of periprosthetic fractures, but besides the three parameters it considers, clinicians should also assess additional factors. Combined advanced trauma and arthroplasty skills must be available in departments managing these complex injuries. Preoperative confirmation of the THA (total hip arthroplasty) stability is sometimes challenging. The most reliable method remains intraoperative assessment during surgical exploration of the hip joint. Certain B1 fractures will benefit from revision surgery, whilst some B2 fractures can be effectively managed with osteosynthesis, especially in frail patients. Less invasive osteosynthesis, balanced plate–bone constructs, composite implant solutions, together with an appropriate reduction of the limb axis, rotation and length are critical for a successful fixation and uneventful fracture healing.Cite this article: EFORT Open Rev 2021;6:75-92. DOI: 10.1302/2058-5241.6.200050
- Subjects :
- medicine.medical_specialty
Vancouver classification
medicine.medical_treatment
Periprosthetic
Trauma
03 medical and health sciences
0302 clinical medicine
Hip replacement
medicine
Orthopedics and Sports Medicine
Femur
030212 general & internal medicine
Reduction (orthopedic surgery)
Fixation (histology)
Vancouver Classification
030222 orthopedics
Hip
Osteosynthesis
Interprosthetic Fractures
business.industry
General surgery
Hip Replacement
Hip Arthroplasty
Arthroplasty
Surgery
Periprosthetic Fractures
business
Subjects
Details
- ISSN :
- 20585241 and 23967544
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- EFORT Open Reviews
- Accession number :
- edsair.doi.dedup.....91eaba60245e7161b0048100c376ef9f