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Periprosthetic femoral fractures

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https://www.readbyqxmd.com/read/29137901/impact-of-femoral-stem-design-on-failure-after-anterior-approach-total-hip-arthroplasty
#1
Krishna R Cidambi, Steven L Barnett, Paige R Mallette, Jay J Patel, Nader A Nassif, Robert S Gorab
BACKGROUND: An increased rate of complications related to femoral component failure has been described with less invasive total hip arthroplasty (THA). This study evaluated the incidence of femoral complications associated with the direct anterior approach for THA. METHODS: Retrospective review was performed of the initial 1120 consecutive patients who underwent direct anterior THA by 2 surgeons. RESULTS: A total of 899 patients (80.3%) had a 2-year follow-up (range, 2-8 years)...
November 11, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29136258/ultra-short-versus-conventional-uncemented-stems-for-hip-replacement-in-octogenarians
#2
Young-Hoo Kim, Jang-Won Park, Jun-Shik Kim
The aim of this study was to determine how an ultra-short anatomic uncemented stem vs a diaphyseal filling five-eighths porous coated uncemented femoral stem (conventional stem) affects the survival of primary total hip arthroplasties in octogenarians. The current study consisted of 52 patients (55 hips) in the ultra-short stem group (mean age, 85.5±5.3 years) and 61 patients (72 hips) in the diaphyseal (conventional) stem group (mean age, 84.1±4.8 years). The predominant diagnosis was osteoarthritis, followed by osteonecrosis of the femoral head, in both groups...
November 11, 2017: Orthopedics
https://www.readbyqxmd.com/read/29126601/an-international-cross-sectional-survey-of-the-management-of-vancouver-type-b1-periprosthetic-femoral-fractures-around-total-hip-arthroplasties
#3
Brent D Bates, David W Walmsley, Milena R Vicente, Paul R Kuzyk, Aaron Nauth, James P Waddell, Michael D McKee, Emil H Schemitsch
INTRODUCTION: The incidence of periprosthetic femoral fractures around total hip arthroplasties is increasing. Fractures around a stable implant stem (Vancouver type B1) are among the most common of these fractures. Various fixation strategies for Vancouver type B1 periprosthetic fractures have been reported in the literature; however, little high-level evidence exists. This study was designed to determine the current management strategies and opinions among orthopaedic surgeons treating Vancouver type B1 periprosthetic femoral fractures, and to evaluate the need for a large prospective randomized controlled trial for the management of these injuries...
October 26, 2017: Injury
https://www.readbyqxmd.com/read/29122124/anatomical-and-radiological-evaluation-of-less-invasive-stabilisation-system-liss-in-correlation-with-knee-lateral-collateral-ligament-insertion
#4
Florian Freimoser, Stephan Grechenig, Anna Ofenhitzer, Bore Bakota, Mario Staresinic, Christian G Pfeifer
INTRODUCTION: The Less Invasive Stabilisation System (LISS) is an angle-stable plate that enables treatment of distal femoral comminuted and periprosthetic fracture. As it is placed through a minimally-invasive lateral approach, lateral knee pain is a commonly described symptom after its application. This study investigates knee lateral collateral ligament (LCL) iatrogenic injury during LISS plate fixation. A cadaver study was performed and a retrospective radiological investigation with the analysis of its clinical application was conducted to evaluate possible knee LCL damage...
November 2017: Injury
https://www.readbyqxmd.com/read/29116356/population-based-epidemiology-and-incidence-of-distal-femur-fractures
#5
Rasmus Elsoe, Adriano Axel Ceccotti, Peter Larsen
PURPOSE: The literature lacks recent epidemiological studies on the incidence, trauma mechanism and fracture classification of distal femur fractures. The aim of the present study was to provide up-to-date information concerning the incidence of distal femur fractures in a large and complete population and to report on the distribution of fracture classification, trauma mechanisms and patient baseline demographics. METHODS: The approach for this study was via a retrospective reviews of records...
November 7, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/29107490/cementless-tapered-wedge-stem-length-affects-the-risk-of-periprosthetic-femoral-fractures-in-direct-anterior-total-hip-arthroplasty
#6
Tatsuya Tamaki, Kurato Jonishi, Yoko Miura, Kazuhiro Oinuma, Hideaki Shiratsuchi
BACKGROUND: Although the popularity of the direct anterior approach for total hip arthroplasty has increased, the femoral procedure in this approach is considered technically challenging, and one of the most frequent complications reported was periprosthetic femoral fractures. The present study aimed to identify factors for predicting the risk of periprosthetic femoral fractures after using stems with a cementless tapered-wedge design through the direct anterior approach. METHODS: We retrospectively assessed the medical records of 686 patients (851 hips) who underwent primary total hip arthroplasty using a single stem with a cementless tapered-wedge design having a short or standard length option...
October 6, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29100663/osteosynthesis-of-periprosthetic-type-a-and-b-femoral-fractures-using-an-unlocked-plate-with-integrated-cerclage-cable-and-trochanteric-hook-a-multicenter-retrospective-study-of-45-patients-with-mean-follow-up-of-20-months
#7
B Gavanier, F Houfani, Q Dumoulin, E Bernard, M Mangin, D Mainard
INTRODUCTION: Femoral periprosthetic fracture (FPF) is a frequent complication in dependent elderly persons, with a limited life expectancy. Their management is difficult and the choice between osteosynthesis and prosthesis is still matter of discussion. To date, there is no study on unlocked plate with integrated cerclage cable and trochanteric hook for this indication. The objectives of this study were to analyze fracture healing, complication rate and functional outcome. Our hypothesis is that this technique allows a high rate of consolidation and a return to the previous state in terms of autonomy and place of residence...
October 10, 2017: Injury
https://www.readbyqxmd.com/read/29094012/managing-extremely-distal-periprosthetic-femoral-supracondylar-fractures-of-total-knee-replacements-a-new-philos-ophy
#8
Kevin J Donnelly, Adam Tucker, Angel Ruiz, Neville W Thompson
We report two cases where a proximal humeral locking plate was used for the fixation of an extremely distal, type III peri-prosthetic femoral fractures in relation to a total knee replacement (TKR). In each case there was concern regarding the fixation that could be achieved using the available anatomic distal femoral plates due to the size and bone quality of distal fragment. The design of the Proximal Humeral Internal Locking System (PHILOS) allows nine 3.5-mm locking screws to be placed over a small area in multiple directions...
October 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/29082427/cementless-modular-neck-stems-are-they-a-safe-option-in-primary-total-hip-arthroplasty
#9
José M Pelayo-de-Tomás, José L Rodrigo-Pérez, Carlos D Novoa-Parra, Alejandro Lizaur-Utrilla, María Morales-Suárez-Varela, José Antonio Blas-Dobón
PURPOSE: The objective was to assess aseptic complications and functional outcome using a primary total hip arthroplasty with modular neck. METHODS: Prospective cohort of 317 consecutive patients. The mean age was 61.1 (range, 41-84) years. The H-Max-M model (Lima, Italy) system was used in all patients. The functional assessment was made by the Harris Hip Score, Short Form-36 (SF-36), Western Ontario and McMaster Universities Osteoarthritis Index and visual analogue scale for pain...
October 29, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29066111/internet-promotion-of-direct-anterior-approach-total-hip-arthroplasty-by-members-of-the-american-association-of-hip-and-knee-surgeons
#10
Ademola I Shofoluwe, Neal B Naveen, Avinash Inabathula, Mary Ziemba-Davis, R Michael Meneghini, John J Callaghan, Lucian C Warth
BACKGROUND: The direct anterior approach (DAA) in total hip arthroplasty is of significant interest to both patients and surgeons, largely due to intense marketing. This study addressed the question, "What is the level of promotion of DAA total hip arthroplasty on the internet by American Association of Hip and Knee Surgeons (AAHKS) members?" METHODS: An internet search was performed to identify surgeon-specific websites for each member of the AAHKS using the members' full name and a previously published set of criteria...
August 23, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29058079/extended-trochanteric-osteotomy-eto-fixation-for-femoral-stem-revision-in-periprosthetic-fractures-dall-miles-plate-versus-cables
#11
Gerard A Sheridan, Adam Galbraith, Stephen R Kearns, William Curtin, Colin G Murphy
BACKGROUND: Extended trochanteric osteotomy (ETO) is a well-established surgical technique used for femoral stem retrieval in revision hip arthroplasty procedures. Fixation of ETO is commonly achieved through wire, cable or cable-plate fixation. No evidence exists to date to suggest which method is superior when used in an acute traumatic setting. METHODS: Thirty cases of acute periprosthetic fracture requiring femoral stem revision with an ETO were identified over a 10-year period...
October 20, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29051875/undisplaced-intraoperative-fracture-presenting-as-early-dislocation-with-tapered-wedge-stems-in-total-hip-arthroplasty-case-series-and-review-of-literature
#12
A V Gurava Reddy, Krishna Kiran Eachempati, Aakash Mugalur, A Suchinder, V B N Prasad Rao, Nalanda Kamurukuru
INTRODUCTION: Periprosthetic fractures and dislocation in the early post-operative period can be disastrous both for the surgeon and the patient. However, undisplaced periprosthetic fractures presenting with dislocation is uncommon. We describe successful management of two cases (one bilateral dislocation and one unilateral dislocation) of undisplaced iatrogenic fractures in total hip arthroplasty (THA) presenting as early dislocation. CASE REPORT: Case 1 was a 45-year-old female with osteoarthritis of hip secondary to developmental dysplasia of the hip with bilateral early nontraumatic dislocation with bilateral identical periprosthetic fracture...
May 2017: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/29050162/-two-stage-total-hip-arthroplasty-using-an-antibiotic-loaded-cement-spacer-for-infected-internal-fixation-of-hip-fractures
#13
X Li, M Ni, H Li, J L Song, X G Song, J Fu, K Liu, B Z Yu, J Y Chen
Objective: To evaluate the application and clinical results of two-stage total hip arthroplasty in the treatment of the deep hip infection following the internal fixation of hip fractures. Methods: From May 2007 to November 2014, 21 patients with active hip infection secondary to internal fixation of hip fractures were treated with two-stage total hip arthroplasty using a temporary antibiotic-loaded cement spacers. Of 21 cases, 15 were males and 6 were females, aged from 27 to 64 years (mean, 45); there are 18 cases of femoral neck fractures and 3 cases of intertrochanteric fractures...
October 10, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29048691/is-a-short-stem-suitable-for-patients-with-hip-dysplasia-a-report-on-technical-problems-encountered-during-femoral-reconstruction
#14
Martin A Buttaro, Pablo A Slullitel, Gerardo Zanotti, Fernando M Comba, Francisco Piccaluga
INTRODUCTION: A wide variety of stems have been used for the treatment of osteoarthritis secondary to advanced hip dysplasia. Since evidence for using short stems in dysplastic hips is limited, we planned to analyse the technical problems encountered when reconstructing the proximal femur of patients with osteoarthritis secondary to congenital dysplasia of the hip treated with total hip arthroplasty (THA) using a type 2B short stem. METHODS: We prospectively analysed 17 patients (22 hips) treated with primary THA performed with a single-branded short uncemented stem with metaphyseal fixation (MiniHip™; Corin)...
October 14, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29048688/is-endoprosthetic-replacement-of-the-proximal-femur-appropriate-in-the-comorbid-patient
#15
Arun Khajuria, Jonathon Ward, George Cooper, Jonathon Stevenson, Michael Parry, Lee Jeys
INTRODUCTION: Patients with failed hip arthroplasty requiring extensive femoral reconstruction often present with a multitude of comorbidities. Many treatment options limit initial mobilisation relying on bone graft incorporation. The use of endoprosthetic replacement (EPR), despite often being a "last resort", offers an expeditious solution with early mobilisation that is crucial in the comorbid individual. Many perceive that the surgical insult of EPR is associated with an increased mortality...
October 16, 2017: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/29043967/dual-head-screw-hip-nailing-for-trochanteric-fractures
#16
Andreas F Mavrogenis, Vasilios G Igoumenou, Panayiotis D Megaloikonomos, George N Panagopoulos, Ioannis P Galanopoulos, Christos Th Vottis, Eirinaios Karamanis, Panayiotis Koulouvaris, Panayiotis J Papagelopoulos
INTRODUCTION: There are limited information and inconclusive results for dual head screw intramedullary hip nails for trochanteric fractures. Therefore, we performed a prospective study to evaluate the healing of fractures, and survival, function, and complications of patients operated with this implant. METHODS: We prospectively studied 79 patients (61 women and 18 men; mean age: 84.7 years; range: 65-96 years) with a low-energy trochanteric fracture, treated with a dual head screw intramedullary hip nail from 2013 to 2016...
2017: SICOT-J
https://www.readbyqxmd.com/read/29037093/less-periprosthetic-bone-loss-following-the-anterolateral-approach-to-the-hip-compared-with-the-direct-lateral-approach
#17
Terje O Ugland, Glenn Haugeberg, Svein Svenningsen, Stein H Ugland, Øystein H Berg, Are Hugo Pripp, Lars Nordsletten
Background and purpose - The loss of bone mineral in the proximal femur following hip arthroplasty may increase the fracture risk around uncemented stems. We hypothesized that the surgical approach to the hip might influence bone mineral changes around the femoral stem in patients with a femoral neck fracture (FNF). Patients and methods - This was a pre-specified subgroup analysis (n = 51) of an ongoing randomized trial (n = 120) in patients with FNF. Participants were allocated to an uncemented hemiarthroplasty inserted through a direct lateral (Hardinge) approach or an anterolateral (modified Watson-Jones) approach...
October 17, 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/29018580/a-systematic-review-of-cost-effectiveness-comparing-traction-to-intramedullary-nailing-of-femoral-shaft-fractures-in-the-less-economically-developed-context
#18
Rebekah J Parkes, Gary Parkes, Kyle James
INTRODUCTION: Femoral shaft fractures carry considerable morbidity and are increasingly common in less economically developed countries (LEDCs). Treatment options include traction and intramedullary (IM) nailing but in a limited-resource environment; cost-effectiveness is fundamental to policy development. The objective herein was to evaluate the cost-effectiveness of moving from traction to IM nailing for femoral shaft fractures, in adults, in LEDCs. Incorporating a systematic review of complications and functional outcomes and a cost-minimization analysis...
2017: BMJ Global Health
https://www.readbyqxmd.com/read/28986073/-kissing-nail-technique-for-the-exchange-of-intramedullary-implants-in-adjacent-peri-implant-fractures
#19
Carolin Melcher, Patrick R Delhey, Christof Birkenmaier, Peter H Thaller
One third of the people aged 65 years and over fall every year, and 1-5% of these falls result in a fracture. For these people, history of fracture and surgery become a risk factor for recurrent falls. In osteoporotic patients, repeated fractures often require several osteosynthetic procedures within a short time frame. Despite the lack of biomechanical studies, clinical experience suggests that additional fractures adjacent to implants occur because of the difference in stiffness between the metallic implant and the osteoporotic bone...
October 3, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28983216/ceramic-bearings-with-titanium-adapter-sleeves-implanted-during-revision-hip-arthroplasty-show-minimal-fretting-or-corrosion-a-retrieval-analysis
#20
Chelsea N Koch, Mark Figgie, Mark P Figgie, Marcella E Elpers, Timothy M Wright, Douglas E Padgett
BACKGROUND: The BIOLOX® option system, consisting of a BIOLOX® delta ceramic femoral head with a titanium alloy adapter sleeve, is being increasingly utilized in revision hip arthroplasty. The sleeve protects the ceramic head from fracture and improper motion about the stem trunnion when a damaged trunnion is encountered at revision surgery. Corrosion and fretting due to metal-metal contact at the taper region of hip prosthesis create the potential of causing periprosthetic osteolysis and adverse local tissue reactions...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
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