Abstract

PEREIRA, Sebastián; ALLENDE, Bartolomé; BIDOLEGUI, Fernando M  and  VINDVER, Gabriel I. Tratamiento de las fracturas periprotésicas de cadera de tipos B2 y B3 con tallos no cementados de fijación distal. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2016, vol.81, n.4, pp.287-293. ISSN 1852-7434.

Introduction: Periprosthetic hip fracture is the third most common cause of hip revision, behind aseptic loosening and infection. Fractures presenting in combination with a loose stem (B2) or poor bone stock (B3) should be revised. Methods: We retrospectively evaluated 38 patients with type B2 and B3 periprosthetic hip fractures that had been treated with distal fixation cementless stem without bone graft or a plate. Follow-up averaged 2.5 years (range 1.5-10). Results: The mean postoperative Harris Hip Score was 69 points (range 57-91). Fracture consolidation was achieved in all patients. Implant survival at last follow-up was 94.8%. Complications were: one (2.6%) stem subsidence, one (2.6%) dislocation, two (5.2%) infections and one (2.6%) hematoma. Conclusion: Hip revision in the set of type B2 and B3 periprosthetic fracture with distal fixation cementless stem without bone graft is an effective technique.

Keywords : Periprosthetic fracture; Femoral revision; Cementless stem.

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