Incomplete, stable-like, peri-prosthetic Vancouver B fracture around an ha-coated stem. Is there a case for strategic thoughtful neglect?
| Autor: | Massimo Balsano, Andrea Scalvi, Andrea Vacchiano, Andrea Sandri, Mauro Spina |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_treatment
lcsh:Surgery Periprosthetic Dentistry Case Report Critical Care and Intensive Care Medicine Prosthesis 03 medical and health sciences 0302 clinical medicine Periprosthetic hip fracture Medicine Internal fixation Orthopedics and Sports Medicine Biomechanical considerations 030222 orthopedics business.industry Biomechanics 030208 emergency & critical care medicine lcsh:RD1-811 B fracture Conservative treatment Emergency Medicine Fracture (geology) Implant business |
| Zdroj: | Trauma Case Reports, Vol 24, Iss, Pp-(2019) Trauma Case Reports |
| ISSN: | 2352-6440 |
| DOI: | 10.1016/j.tcr.2019.100252 |
| Popis: | The Periprosthetic fracture of the proximal femur is usually treated by internal fixation of the fracture or revision of the femoral stem depending on the characteristics of the fracture and stability of the implant. This case report shows an early periprosthetic fracture around an uncemented straight stem which is treated conservatively with an excellent clinical radiographic result and explains the biomechanics related to this non-operative choice. A conservative treatment of periprosthetic fracture is possible but only after a careful analysis of the fracture pattern, the characteristics of the prosthetic stem and the time elapsed from implanting the prosthesis to the fracture. Keywords: Periprosthetic hip fracture, Conservative treatment, Biomechanical considerations |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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