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Periprosthetic femoral fracture as cause of early revision after short stem hip arthroplasty—a multicentric analysis

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Author(s)
Sang-Min KimSeung-Beom HanKee Hyung RhyuJeong Joon YooKwang-Jun OhJe Hyun YooKyung-Jae LeeSeung-Jae Lim
Keimyung Author(s)
Lee, Kyung Jae
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Int Orthop
Issued Date
2018
Volume
42
Issue
9
Keyword
ReoperationPeriprosthetic femoral fractureShort stemHip replacement
Abstract
Background
The objective of this study was to analyze the prevalence and causes of early re-operation after hip replacement surgery using short bone-preserving stems in a large multicentre series. Specifically, we evaluated the clinical features of periprosthetic fractures occurring around short stems.

Methods
A total of 897 patients (1089 hips) who underwent primary total hip arthroplasty or bipolar hemiarthroplasty from January 2011 to February 2015 using short bone-preserving femoral stems were recruited. Mean patient age was 57.4 years (range, 18–97 years), with a male ratio of 49.7% (541/1089). Re-operation for any reason within two years was used as an endpoint. The incidence and clinical characteristics of the periprosthetic femoral fractures were also recorded. Mean follow-up period was 5.1 years (range, 2–7.9 years).

Results
Early re-operation for any reason was identified in 16 (1.5%) of 1089 hips. The main reason for re-operation was periprosthetic femoral fracture, which accounted for eight (50%) of the 16 re-operations. The overall incidence of periprosthetic femoral fracture at two years was 1.1% (12/1089). According to the Vancouver classification, two fractures were AG type and the other ten were B1 type. Advanced age, higher American Society of Anesthesiologist grade, femur morphology of Dorr type C, and the use of a calcar-loading stem increased the risk for periprosthetic femoral fracture.

Conclusion
Periprosthetic femoral fracture was the major reason for re-operation after hip replacement surgery using short bonepreserving stems accounting for 50% (8/16) of re-operations two years post-operatively, but did not seem to deteriorate survivorship of implanted prostheses.
Keimyung Author(s)(Kor)
이경재
Publisher
School of Medicine (의과대학)
Citation
Sang-Min Kim et al. (2018). Periprosthetic femoral fracture as cause of early revision after short stem hip arthroplasty—a multicentric analysis. Int Orthop, 42(9), 2069–2076. doi: 10.1007/s00264-018-3930-y
Type
Article
ISSN
1432-5195
Source
https://link.springer.com/article/10.1007%2Fs00264-018-3930-y
DOI
10.1007/s00264-018-3930-y
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/41705
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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