ReviewEFORT open reviews2020
Periprosthetic fractures of the proximal femur: beyond the Vancouver classification.
Review in EFORT open reviews, 2020. 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.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Management of infected periprosthetic fracture of hip and knee: a systematic review of the literature.EFORT open reviews · 2026Pooled it
- Fractures in Patients With Hip and Knee Prostheses: Epidemiology, Diagnosis, and Treatment.Deutsches Arzteblatt international · 2026Review
- Fractures of the Femur After Hip Joint Replacement: The Vancouver Classification After 30 Years.The Journal of bone and joint surgery. American volume · 2026Article
- Complications and Mortality of Open Reduction and Internal Fixation for Periprosthetic Femoral Fractures Around Cementless Femoral Stems: A Mid- to Long- Term Retrospective Cohort Study.Journal of clinical medicine · 2026Article
- Introducing the Universal Periprosthetic Femur Fracture (UPFF) Classification: All Fractures Femur.Journal of clinical medicine · 2026Article
- [Periprosthetic acetabular fracture].Unfallchirurgie (Heidelberg, Germany) · 2026Review
- Internal fixation versus revision arthroplasty for Vancouver B2-B3 fractures: mortality and functional outcomes in frail patients. Insights from the PIPPAS study of 485 patients.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Observational
- A Case Report of a Symptomatic Atrophy and Osteonecrosis of the Femoral Diaphysis Induced by Internal Plate Fixation of a Periprosthetic Fracture.Journal of orthopaedic case reports · 2025Article
- Which B2 Fractures Can Be Treated with ORIF? Validation of the "Beyond the Vancouver Classification".Medicina (Kaunas, Lithuania) · 2025Article
- Periprosthetic Ulna Fractures Following Aptis Distal Radioulnar Joint Arthroplasty: A Series of Four Cases.Journal of hand surgery global online · 2024Article
- The History of Classification Systems for Periprosthetic Femoral Fractures: A Literature Review.Orthopaedic surgery · 2024Article
- Health-related quality of life (EQ-5D) after revision arthroplasty following periprosthetic femoral fractures Vancouver B2 and B3 in geriatric trauma patients.Archives of orthopaedic and trauma surgery · 2024Article
- Article
- Similar revision rate after cemented and cementless femoral revisions for periprosthetic femoral fractures in total hip arthroplasty: analysis of 1,879 revision hip arthroplasties in the Dutch Arthroplasty Register.Acta orthopaedica · 2023Article
- Periprosthetic fracture management of the proximal femur.OTA international : the open access journal of orthopaedic trauma · 2023Review
- How resources affect management of periprosthetic fractures of the distal femur: perspectives from Israel, South Sudan, and South Africa.OTA international : the open access journal of orthopaedic trauma · 2023Review
- Biomechanics of PHILOS plates in Vancouver B1 periprosthetic femoral fracture.Frontiers in bioengineering and biotechnology · 2023Article
- Do standards of care and early outcomes of periprosthetic fractures change during the COVID-19 pandemic? A multicentre study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The majority of periprosthetic femoral fractures are treated surgically.Surgical treatment may be revision only, revision in combination with open reduction and internal fixation (ORIF), or ORIF only.The treatment decision is dependent on whether the stem is loose or not, but loose stems are not always identified, resulting in unsatisfactory treatments.This article presents an algorithmic approach to identifying loose stems around proximal femoral periprosthetic fractures, taking patient history, stem design, and plain radiographs into consideration. This approach may help identifying loose stems and increase the probability of effective treatments. Cite this article:
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