ReviewAnnals of translational medicine2015
Periprosthetic fractures around the femoral stem: overcoming challenges and avoiding pitfalls.
Review in Annals of translational medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed.
- Influence of bone quality on femoral stress distribution after cemented stem insertion: an experimental thermoelastic stress analysis.Hip international : the journal of clinical and experimental research on hip pathology and therapy · 2026Article
- Managing Vancouver B2 periprosthetic femoral fractures: is open reduction and internal fixation superior to stem revision? : A comparative analysis with a minimum 5-year follow-up.Archives of orthopaedic and trauma surgery · 2026Article
- Introducing the Universal Periprosthetic Femur Fracture (UPFF) Classification: All Fractures Femur.Journal of clinical medicine · 2026Article
- Challenging the myth: comparing early complications of native and periprosthetic distal femur fractures. The role of implant stability.Archives of orthopaedic and trauma surgery · 2026Article
- Review
- Experimental Biomechanical study on the consequences of dashboard injury of the pelvis after total hip replacement.International journal of legal medicine · 2026Article
- Impact of periprosthetic femoral fractures on frailty, mobility and outcomes in hip arthroplasty.Journal of orthopaedic surgery and research · 2025Article
- Revision for initial periprosthetic femur fracture increases likelihood of subsequent fracture in total hip arthroplasty.Journal of orthopaedics · 2025Article
- Frailty and femoral periprosthetic fractures around the hip: outcomes in nonagenarians.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- The Role of Osteoporosis in Total Hip Arthroplasty Periprosthetic Fractures and Current Management Strategies: a Review.Current osteoporosis reports · 2025Review
- Vancouver type B2 periprosthetic femoral fractures: clinical and radiological outcomes from a tertiary care center.Archives of orthopaedic and trauma surgery · 2023Article
- Outcomes of cable fixation after Vancouver type B1 periprosthetic femoral fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- Is Posterior Femoral Neck Cortex an Obstacle in Achieving Sagittal Plane Balance of Uncemented Straight Femoral Stem?Indian journal of orthopaedics · 2023Article
- Periprosthetic fracture management of the proximal femur.OTA international : the open access journal of orthopaedic trauma · 2023Review
- The clinical and economic burden of proximal femur periprosthetic fractures.Musculoskeletal surgery · 2022Article
- Metallic versus Non-Metallic Cerclage Cables System in Periprosthetic Hip Fracture Treatment: Single-Institution Experience at a Minimum 1-Year Follow-Up.Journal of clinical medicine · 2022Article
- Open reduction and locked compression plate fixation, with or without allograft strut, for periprosthetic fractures in patients who had a well-fixed femoral stem: a retrospective study with an average 2-year follow-up.BMC musculoskeletal disorders · 2022Article
- Treatment Algorithm of Periprosthetic Femoral Fracturens.Geriatric orthopaedic surgery & rehabilitation · 2022Review
- Comparison of different fixation techniques for periprosthetic fractures: a biomechanical study of a new implant.International orthopaedics · 2021Article
- Combined Surgical and Medical Treatment for Vancouver B1 and C Periprosthetic Femoral Fractures: A Proposal of a Therapeutic Algorithm While Retaining the Original Stable Stem.Geriatric orthopaedic surgery & rehabilitation · 2021Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Management of periprosthetic fractures around the femoral stem after total hip arthroplasty (THA) represents a significant challenge and optimal treatment remains controversial. The most common treatment paradigm involves treating fractures around a well-fixed stem with osteosynthesis, whereas fractures around a loose stem require revision arthroplasty and those with poor bone require augmentation with bone graft. Paradoxically, the literature reports a higher rate of failure for osteosynthesis around prostheses considered to be well-fixed. Such a high rate of poor outcomes may result not only from difficult fracture fixation and compromised biologic healing, but also from unrecognized peri-implant pathology. Therefore, proper preoperative and intraoperative evaluation is key, and a subset of patients may benefit from alternative management. We review the appropriate methods for evaluation and treatment of Vancouver type B fractures with particular emphasis on avoiding missteps that can lead to failure.
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