ArticleInternational orthopaedics2018
Periprosthetic femoral fracture as cause of early revision after short stem hip arthroplasty-a multicentric analysis.
Article in International orthopaedics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.
- The race for the classification of proximal periprosthetic femoral fractures : Vancouver vs Unified Classification System (UCS) - a systematic review.BMC musculoskeletal disorders · 2022Pooled it
- Ortho-bridge system for the treatment of Vancouver type B1 periprosthetic femoral fractures based on three dimensional printing.International orthopaedics · 2025Article
- Outcomes of traumatic Vancouver type AG periprosthetic fractures treated nonoperatively.Journal of orthopaedics · 2025Article
- Mechanical Effects of Offset and Length of the Cementless Stem for Initial Fixation to the Femur.Clinics in orthopedic surgery · 2025Article
- Periprosthetic fracture following arthroplasty for femoral neck fracture: is a cemented stem protective?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Varus malalignment of short femoral stem not associated with post-hip arthroplasty fracture.Archives of orthopaedic and trauma surgery · 2022Article
- Does femoral stem choice influence fracture type or incidence for direct anterior approach total hip arthroplasty?Archives of orthopaedic and trauma surgery · 2022Article
- Effect of stem position and length on bone-stem constructs after cementless hip arthroplasty.Bone & joint research · 2021Article
- Complex Primary Total Hip Arthroplasty: Small Stems for Big Challenges.Arthroplasty today · 2021Article
- Multiple failures of internal fixation for treatment of periprosthetic femoral refracture: a case report and literature review.The Journal of international medical research · 2020Review
- Incidence and pattern of periprosthetic hip fractures around the stem in different stem geometry.International orthopaedics · 2020Article
- Outcomes of cerclage wiring to manage intra-operative femoral fracture occurring during cementless hemiarthroplasty in older patients with femoral neck fractures.International orthopaedics · 2019Article
- A new classification for proximal femur bone defects in conservative hip arthroplasty revisions.International orthopaedics · 2019Article
- Development of periprosthetic bone mass density around the cementless Metha® short hip stem during three year follow up-a prospective radiological and clinical study.International orthopaedics · 2019Article
- Computed tomography for managing periprosthetic femoral fractures. A retrospective analysis.BMC musculoskeletal disorders · 2019Article
- Cementless short-stem total hip arthroplasty in the elderly patient - is it a safe option?: a prospective multicentre observational study.BMC geriatrics · 2019Observational
- A new classification for proximal femur bone defects in conservative hip arthroplasty revisions.International orthopaedics · 2019Article
- Fourteen-year experience with short cemented stems in total hip replacement.International orthopaedics · 2019Article
Corrections and comments
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Authors and funding
8 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 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.
methodsA 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).
resultsEarly 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.
conclusionPeriprosthetic femoral fracture was the major reason for re-operation after hip replacement surgery using short bone-preserving stems accounting for 50% (8/16) of re-operations two years post-operatively, but did not seem to deteriorate survivorship of implanted prostheses.
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