ArticleThe open orthopaedics journal2015
Concepts and Potential Future Developments for Treatment of Periprosthetic Proximal Femoral Fractures.
Article in The open orthopaedics journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- The History of Classification Systems for Periprosthetic Femoral Fractures: A Literature Review.Orthopaedic surgery · 2024Article
- A Retrospective analysis of peri-implant fractures: insights from a large volume clinical Study.International orthopaedics · 2023Article
- The clinical and economic burden of proximal femur periprosthetic fractures.Musculoskeletal surgery · 2022Article
- Treatment Algorithm of Periprosthetic Femoral Fracturens.Geriatric orthopaedic surgery & rehabilitation · 2022Review
- Prognostic Factors and Clinical Outcomes after Treatment of Periprosthetic Femoral Fractures Using a Cable-plate.Hip & pelvis · 2019Article
- Surgical treatment of periprosthetic femoral fractures: a retrospective study with functional and radiological outcomes from 2010 to 2016.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
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Abstract
Periprosthetic proximal femoral fractures are a major challenge for the orthopaedic surgeon, with a continuously increasing incidence due to aging populations and concordantly increasing numbers of total hip replacements. Surgical decision-making mainly depends on the stability of the arthroplasty, and the quality of bone stock. As patients final outcomes mainly depend on early mobilization, a high primary stability of the construct is of particular relevance. Osteosynthetic procedures are usually applied for fractures with a stable arthroplasty, while fractures with a loosened endoprosthesis commonly require revision arthroplasty. Osteoporotic bone with insufficient anchoring substance for screws poses one major concern for cases with well-fixed arthroplasties. Complication rates and perioperative mortality have remained unacceptably high, emphasizing the need for new innovations in the treatment of periprosthetic fractures. Transprosthetic drilling of screws through the hip stem as the most solid and reliable part in the patient might represent a promising future approach, with auspicious results in recent biomechanical studies.
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