Cement-in-cement versus uncemented modular stem revision for Vancouver B2 periprosthetic fractures

Autor: John W, Kennedy, Alex, Hrycaiczuk, Nigel Y B, Ng, Owen, Sheerins, Sanjeev R, Patil, Bryn G, Jones, Andrew, Stark, R M Dominic, Meek
Rok vydání: 2022
Předmět:
Zdroj: J Orthop
ISSN: 0972-978X
DOI: 10.1016/j.jor.2022.03.008
Popis: BACKGROUND: To compare outcomes of revision to a long uncemented stem with cement-in-cement revision for Vancouver B2 periprosthetic fracture (PPF). METHODS: Patients undergoing surgery for a Vancouver B2 PPF in a cemented stem from 2008 to 2018 were identified using our prospectively collated database. RESULTS: We identified 43 uncemented and 29 cement-in-cement revisions. Cement-in-cement revision had a shorter operative time, reduction in certain complications, no increased rate of non-union, lower degree of stem subsidence and no difference in re-revision rate. CONCLUSION: With appropriate patient selection, both cement-in-cement and long uncemented stem revision represent appropriate treatment options for Vancouver B2 fractures.
Databáze: OpenAIRE
Externí odkaz: