Hip revision arthroplasty for failed osteosynthesis in periprosthetic Vancouver type B1 fractures using a cementless, modular, tapered revision stem

B Fink; D Oremek

doi:10.1302/0301-620X.99B4.BJJ-2016-1201.R1

Hip revision arthroplasty for failed osteosynthesis in periprosthetic Vancouver type B1 fractures using a cementless, modular, tapered revision stem

Standard

Hip revision arthroplasty for failed osteosynthesis in periprosthetic Vancouver type B1 fractures using a cementless, modular, tapered revision stem. / Fink, B; Oremek, D.

In: BONE JOINT J, Vol. 99-B, No. 4 Supple B, 04.2017, p. 11-16.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Fink, B & Oremek, D 2017, 'Hip revision arthroplasty for failed osteosynthesis in periprosthetic Vancouver type B1 fractures using a cementless, modular, tapered revision stem', BONE JOINT J, vol. 99-B, no. 4 Supple B, pp. 11-16. https://doi.org/10.1302/0301-620X.99B4.BJJ-2016-1201.R1

APA

Fink, B., & Oremek, D. (2017). Hip revision arthroplasty for failed osteosynthesis in periprosthetic Vancouver type B1 fractures using a cementless, modular, tapered revision stem. BONE JOINT J, 99-B(4 Supple B), 11-16. https://doi.org/10.1302/0301-620X.99B4.BJJ-2016-1201.R1

Vancouver

Fink B, Oremek D. Hip revision arthroplasty for failed osteosynthesis in periprosthetic Vancouver type B1 fractures using a cementless, modular, tapered revision stem. BONE JOINT J. 2017 Apr;99-B(4 Supple B):11-16. https://doi.org/10.1302/0301-620X.99B4.BJJ-2016-1201.R1

Bibtex

@article{452a9afaa286409faf3d13ac5474830d,

title = "Hip revision arthroplasty for failed osteosynthesis in periprosthetic Vancouver type B1 fractures using a cementless, modular, tapered revision stem",

abstract = "AIMS: To evaluate the hypothesis that failed osteosynthesis of periprosthetic Vancouver type B1 fractures can be treated successfully with stem revision using a transfemoral approach and a cementless, modular, tapered revision stem with reproducible rates of fracture healing, stability of the revision stem, and clinically good results.PATIENTS AND METHODS: A total of 14 patients (11 women, three men) with a mean age of 72.4 years (65 to 90) undergoing revision hip arthroplasty after failed osteosynthesis of periprosthetic fractures of Vancouver type B1 were treated using a transfemoral approach to remove the well-fixed stem before insertion of a modular, fluted titanium stem which obtained distal fixation. These patients were clinically and radiologically followed up for a mean 52.2 months (24 to 144).RESULTS: After a mean of 15.5 weeks (standard deviation (sd) 5.7) all fractures had healed. No stems subsided and bony-ingrowth fixation had occurred according to the classification of Engh et al. The mean Harris Hip Score increased from a pre-operative score of 22.2 points (sd 9.7) to 81.5 points (sd 16.8) 24 months post-operatively. All hips had obtained an excellent result according to the classification of Beals and Tower.CONCLUSIONS: The technique described here for stem revision provides reproducibly good results in the treatment of failed osteosynthesis for Vancouver types B1 periprosthetic fractures of the hip. Cite this article:Bone Joint J2017;99-B(4 Supple B):11-16.",

keywords = "Aged, Aged, 80 and over, Arthroplasty, Replacement, Hip, Bone Cements, Female, Femoral Fractures, Follow-Up Studies, Fracture Fixation, Internal, Fracture Healing, Hip Prosthesis, Humans, Male, Periprosthetic Fractures, Prosthesis Design, Prosthesis Failure, Radiography, Reoperation, Treatment Outcome, Evaluation Studies, Journal Article",

author = "B Fink and D Oremek",

note = "{\textcopyright}2017 Fink et al.",

year = "2017",

month = apr,

doi = "10.1302/0301-620X.99B4.BJJ-2016-1201.R1",

language = "English",

volume = "99-B",

pages = "11--16",

journal = "BONE JOINT J",

issn = "2049-4394",

publisher = "British Editorial Society of Bone and Joint Surgery",

number = "4 Supple B",

}

RIS

TY - JOUR

T1 - Hip revision arthroplasty for failed osteosynthesis in periprosthetic Vancouver type B1 fractures using a cementless, modular, tapered revision stem

AU - Fink, B

AU - Oremek, D

PY - 2017/4

Y1 - 2017/4

N2 - AIMS: To evaluate the hypothesis that failed osteosynthesis of periprosthetic Vancouver type B1 fractures can be treated successfully with stem revision using a transfemoral approach and a cementless, modular, tapered revision stem with reproducible rates of fracture healing, stability of the revision stem, and clinically good results.PATIENTS AND METHODS: A total of 14 patients (11 women, three men) with a mean age of 72.4 years (65 to 90) undergoing revision hip arthroplasty after failed osteosynthesis of periprosthetic fractures of Vancouver type B1 were treated using a transfemoral approach to remove the well-fixed stem before insertion of a modular, fluted titanium stem which obtained distal fixation. These patients were clinically and radiologically followed up for a mean 52.2 months (24 to 144).RESULTS: After a mean of 15.5 weeks (standard deviation (sd) 5.7) all fractures had healed. No stems subsided and bony-ingrowth fixation had occurred according to the classification of Engh et al. The mean Harris Hip Score increased from a pre-operative score of 22.2 points (sd 9.7) to 81.5 points (sd 16.8) 24 months post-operatively. All hips had obtained an excellent result according to the classification of Beals and Tower.CONCLUSIONS: The technique described here for stem revision provides reproducibly good results in the treatment of failed osteosynthesis for Vancouver types B1 periprosthetic fractures of the hip. Cite this article:Bone Joint J2017;99-B(4 Supple B):11-16.

AB - AIMS: To evaluate the hypothesis that failed osteosynthesis of periprosthetic Vancouver type B1 fractures can be treated successfully with stem revision using a transfemoral approach and a cementless, modular, tapered revision stem with reproducible rates of fracture healing, stability of the revision stem, and clinically good results.PATIENTS AND METHODS: A total of 14 patients (11 women, three men) with a mean age of 72.4 years (65 to 90) undergoing revision hip arthroplasty after failed osteosynthesis of periprosthetic fractures of Vancouver type B1 were treated using a transfemoral approach to remove the well-fixed stem before insertion of a modular, fluted titanium stem which obtained distal fixation. These patients were clinically and radiologically followed up for a mean 52.2 months (24 to 144).RESULTS: After a mean of 15.5 weeks (standard deviation (sd) 5.7) all fractures had healed. No stems subsided and bony-ingrowth fixation had occurred according to the classification of Engh et al. The mean Harris Hip Score increased from a pre-operative score of 22.2 points (sd 9.7) to 81.5 points (sd 16.8) 24 months post-operatively. All hips had obtained an excellent result according to the classification of Beals and Tower.CONCLUSIONS: The technique described here for stem revision provides reproducibly good results in the treatment of failed osteosynthesis for Vancouver types B1 periprosthetic fractures of the hip. Cite this article:Bone Joint J2017;99-B(4 Supple B):11-16.

KW - Aged

KW - Aged, 80 and over

KW - Arthroplasty, Replacement, Hip

KW - Bone Cements

KW - Female

KW - Femoral Fractures

KW - Follow-Up Studies

KW - Fracture Fixation, Internal

KW - Fracture Healing

KW - Hip Prosthesis

KW - Humans

KW - Male

KW - Periprosthetic Fractures

KW - Prosthesis Design

KW - Prosthesis Failure

KW - Radiography

KW - Reoperation

KW - Treatment Outcome

KW - Evaluation Studies

KW - Journal Article

U2 - 10.1302/0301-620X.99B4.BJJ-2016-1201.R1

DO - 10.1302/0301-620X.99B4.BJJ-2016-1201.R1

M3 - SCORING: Journal article

C2 - 28363889

VL - 99-B

SP - 11

EP - 16

JO - BONE JOINT J

JF - BONE JOINT J

SN - 2049-4394

IS - 4 Supple B

ER -