The management of periprosthetic fractures Oxford trimodular femoral stem. A survivorship study

A consecutive series of 40 periprosthetic femoral fractures, treated with revision hip surgery using the Oxford trimodular femoral stem, were retrospectively studied, with an average follow-up of 7.9 years. Fractures were classified according to the Vancouver classification. There were 5 type B1 fra...

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Veröffentlicht in:The Journal of arthroplasty 2009-09, Vol.24 (6), p.909-913
Hauptverfasser: Fawzy, Ernest, de Steiger, Richard, Gundle, Roger, McLardy-Smith, Peter, Murray, David W
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container_end_page 913
container_issue 6
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container_title The Journal of arthroplasty
container_volume 24
creator Fawzy, Ernest
de Steiger, Richard
Gundle, Roger
McLardy-Smith, Peter
Murray, David W
description A consecutive series of 40 periprosthetic femoral fractures, treated with revision hip surgery using the Oxford trimodular femoral stem, were retrospectively studied, with an average follow-up of 7.9 years. Fractures were classified according to the Vancouver classification. There were 5 type B1 fractures, 28 type B2, and 7 type C. Radiographic union was achieved in 38 (95%) hips. The mean time to fracture union was 3.5 months. The prosthesis survival at 5 years was 95% (confidence interval, 88%-100%). Clinical results were good with a mean Oxford hip score of 30 (hip score maximum, 48). Complications included 1 nonunion, 1 infection, 1 dislocation, and 2 aseptic loosening. The Oxford trimodular femoral component is a safe and reliable prosthesis for the treatment of periprosthetic femoral fractures with satisfactory medium-term results.
doi_str_mv 10.1016/j.arth.2008.07.015
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subjects Aged
Aged, 80 and over
Arthroplasty, Replacement, Hip - adverse effects
Arthroplasty, Replacement, Hip - instrumentation
Arthroplasty, Replacement, Hip - methods
Female
Femoral Fractures - etiology
Femoral Fractures - surgery
Follow-Up Studies
Fracture Healing
Hip Joint - diagnostic imaging
Hip Joint - surgery
Hip Prosthesis - adverse effects
Humans
Male
Middle Aged
Periprosthetic Fractures - etiology
Periprosthetic Fractures - surgery
Radiography
Reoperation
Retrospective Studies
Treatment Outcome
title The management of periprosthetic fractures Oxford trimodular femoral stem. A survivorship study
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