Incomplete, stable-like, peri-prosthetic Vancouver B fracture around an ha-coated stem. Is there a case for strategic thoughtful neglect?

Autor: Mauro Spina, Andrea Scalvi, Andrea Vacchiano, Andrea Sandri, Massimo Balsano
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Trauma Case Reports, Vol 24, Iss , Pp - (2019)
Druh dokumentu: article
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: Directory of Open Access Journals