ArticleHip international : the journal of clinical and experimental research on hip pathology and therapy2023
Treatment of periprosthetic femoral fractures following total hip arthroplasty: results of an online survey of the European Hip Society.
Article in Hip international : the journal of clinical and experimental research on hip pathology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 24 citations in OpenAlex.
- Management of periprosthetic fractures around cemented femoral stems: osteosynthesis and revision strategies.EFORT open reviews · 2026Review
- Outcomes of revisions and fixations following periprosthetic fractures around the hip: a retrospective service evaluation.Journal of clinical orthopaedics and trauma · 2025Article
- Risk Factors and Predictors of 1-Year Mortality in 262 Vancouver Type C Periprosthetic Femoral Fractures: Insights from the PIPPAS Prospective Multicenter Observational Study.Journal of clinical medicine · 2025Article
- Open reduction, internal fixation of Vancouver B1, C & D type periprosthetic femoral fractures with use of an antiglide plate at fracture apex - The "Apex Plate".Trauma case reports · 2025Article
- Survey of Orthopedic Surgeons' Perceptions of Adopting an Initiative With Cemented Hip Hemiarthroplasties for Fractures.The Permanente journal · 2025Article
- [Surgical treatment strategies for periprosthetic femoral fractures of type Vancouver B].Orthopadie (Heidelberg, Germany) · 2025Review
- Cementless long-stem fixation in periprosthetic clamshell fracture: a biomechanical investigation.Frontiers in bioengineering and biotechnology · 2025Article
- Pilot study on the feasibility of shape memory alloy implantation for Vancouver type B1 periprosthetic femoral fractures in a canine model: a step toward advancing treatment modalities.Journal of orthopaedic surgery and research · 2024Article
- Periprosthetic Femoral Fractures-Beyond B2.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Review
- Vancouver type B2 periprosthetic femoral fractures: clinical and radiological outcomes from a tertiary care center.Archives of orthopaedic and trauma surgery · 2023Article
- Article
- Periprosthetic Fractures around Total Hip Replacement-Is There a Rush to Fix?Journal of clinical medicine · 2023Article
- Periprosthetic fracture management of the proximal femur.OTA international : the open access journal of orthopaedic trauma · 2023Review
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeriprosthetic femoral fractures (PPF) are a devastating complication after total hip arthroplasty (THA). Both trauma and adult reconstruction surgeons or combined teams treat these fractures following management algorithms. The aim of this study is to investigate the current treatment of PPF by members of the European Hip Society (EHS).
methodsAn online survey of the members of the European Hip Society (EHS) was conducted. 20 cases of periprosthetic fracture were presented and surgeons were asked to answer questions regarding classification, treatment and postoperative treatment protocol.
resultsA total of 132 (130 male; 2 female) EHS members responded. Mean years in surgical practice was 18.8 (min. 1 year; max. 50 years). The preferred surgical method was combined open reduction and internal fixation (ORIF) (30.3%) for AG fractures, ORIF with cables (30.4%) for AL fractures, combined ORIF (cable and plate) for B1 fractures (49.2%), stem revision with cables for B2 fractures (73.1%), stem revision with cables for B3 (55.9%) fractures and combined ORIF (cable and plate: 55.5%) for C fractures. Surprisingly, 10.8% suggested various stem revision techniques for B1 and 17.4% for C fractures. Strong variations were observed regarding postoperative weight-bearing protocol.
conclusionsA strong consensus was found for the choice of conservative or surgical treatment of the different PPF types according to the Vancouver Classification. Various stem revision techniques were the preferred surgical techniques for Vancouver B2 (91.2%) and B3 (88.6%) fractures. However, for postoperative weight-bearing, when the ORIF technique was used, a significant variation of protocols was found.
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