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Abstract
Periprosthetic femoral fractures are increasing. In a periprosthetic femoral fracture, treatment is difficult and complications are common. The result of total hip arthroplasty becomes poor. The study sought to determine the cause and risk factors of periprosthetic femoral fracture after total hip arthroplasty, and discusses treatment according to the guidelines of the Vancouver classification.
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Fig. 1.
(A) Preoperative radiograph of the left hip showing Vancouver type A (AL+AG) periprosthetic femoral fracture. (B) Postoperative radiograph showing that fracture is reduced and fixed with cerclage wiring.
Fig. 2.
(A) Preoperative radiograph of the right hip showing Vancouver type B1 periprosthetic femoral fracture. (B) Postoperative radiograph showing that fracture is reduced and fixed with plate, screws and wires.
Fig. 3.
(A) Preoperative radiograph of the left hip showing Vancouver type B2 periprosthetic femoral fracture pattern characterized with loosening of stem and good quality of femoral bone. (B) Postoperative radiograph showing that the stem is changed with long revision stem and fracture is reduced and fixed with cerclage wires.
Fig. 4.
(A) Preoperative radiograph of the right hip showing Vancouver type B3 periprosthetic femoral fracture pattern characterized with loosening of the stem and poor quality of femoral bone. (B) Postoperative radiograph showing that the stem is changed with long revision stem and fracture is reduced and fixed with cerclage wires.
Fig. 5.
(A) Preoperative radiograph of the right hip showing Vancouver type C periprosthetic femoral fracture pattern. (B) Postoperative radiograph showing that fracture is reduced and fixed with plate, screws and cerclage wires.
Table 1.
Risk Factors Associated with Periprosthetic Femoral Fracture
Table 2.
Vancouver Classification of Postoperative Periprosthetic Femoral Fracture
Table 3.
Vancouver Classification of Intraoperative Periprosthetic Femoral Fracture
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