Total hip arthroplasty periprosthetic femoral fractures: a review of classification and current treatment.

摘要: Periprosthetic fractures of the femur after total hip replacement can present some unique challenges to treating reconstructive orthopedic surgeon. Treatment may differ depending on fracture location, bone condition, implant stability, patient characteristics, and surgeon experience. It is imperative that adequate sufficient mechanical fixation be achieved in treatment these patients. crucial orthopaedic have a clear effective plan manage complex cases. The patient’s final outcome dependent union, early functional recovery, return pre-injury independence. This review presents an overview current diagnostic approaches, with goal providing template for optimal decision-making when dealing injuries. T otal arthroplasty (THA) has been extremely procedure relieving pain dysfunction patients arthritis varying etiologies. However, many decades successful replacements, there also substantial increase incidence periprosthetic following THA. prevalence attributed number primary revision THAs being performed annually, growing THA place more than 20 years, aging population (with increasing life expectancy, poorer quality, high fall risk), broader indications allow younger, active, consequently high-energy trauma prone undergo surgery. are divided into intraoperative postoperative fractures. Intraoperative occur during course surgery fractures, main focus this review, usually within days several years procedure. In Swedish National Hip Arthroplasty registry study, mean time from was 7.4 3.9 1 Also, Mayo Clinic Total Joint Registry average between 8.1 years. 2