Hip & pelvis

The Korean Hip Society (대한고관절학회)
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Periprosthetic Fracture around a Cemented Stem in Total Hip Arthroplasty

  • Jun-Young Heu (Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Ju-Yeong Kim (Department of Orthopedic Surgery, Gyeongsang National University Changwon Hospital, College of Medicine, Gyeongsang National University) ;
  • Se-Won Lee (Department of Orthopedic Surgery, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea)
  • Received : 2021.12.21
  • Accepted : 2022.05.07
  • Published : 2022.09.30
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Abstract

The increase in the number of primary total hip arthroplasties that will be performed over the next several decades will lead to an increase in the incidence of periprosthetic fractures around the femoral stem. A search of targeted articles was conducted using on-line databases of PubMed (National Library of Medicine) and articles were obtained from January 2008 to November 2021. Reliable prediction of treatment can be achieved using the Vancouver classification; internal fixation is indicated in fractures involving a stable implant and revision arthroplasty is indicated in those with unstable prostheses. To the best of our knowledge, relatively fewer studies regarding periprosthetic proximal femur fractures of cemented stems have been reported. The focus of this review is on the risk factors and strategies for treatment of these fractures for periprosthetic femoral fractures around a cemented hip arthroplasty.

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References

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