SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023
Osteosynthesis versus revision arthroplasty in Vancouver B2 periprosthetic hip fractures: a systematic review and meta-analysis.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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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.
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, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Do Meta-Analyses of Total Hip Arthroplasty Produce Reliable Results? A Systematic Review and Meta-Epidemiological Study of Statistical Methods.Orthopaedic surgery · 2025Pooled it
- Stem revision vs. internal fixation in Vancouver B2/B3 periprosthetic hip fractures: systematic review and metanalysis.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Treatment and outcomes of periprosthetic femoral fractures in patients aged 90 years or older - a retrospective bicentre cohort study with 107 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- 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
- Predictors of immobility following surgery for periprosthetic hip fractures.Archives of orthopaedic and trauma surgery · 2025Article
- Revision arthroplasty versus open reduction and internal fixation in Vancouver type B2 and B3 periprosthetic femoral fractures: results from a matched pairs analysis of the registry for geriatric trauma of the DGUArchives of orthopaedic and trauma surgery · 2025Article
- 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
- Fixation versus revision arthroplasty for Unified Classification System type B periprosthetic fractures around cemented polished tapered femoral components : a systematic review and meta-analysis.Bone & joint open · 2025Article
- Cumulative Risk for Periprosthetic Fracture and Operative Treatment Options After Revision Total Hip Arthroplasty with a Modular and Tapered Revision Device-A Consecutive Series of 117 Cases in a Mid-Term Duration.Journal of clinical medicine · 2025Article
- Which B2 Fractures Can Be Treated with ORIF? Validation of the "Beyond the Vancouver Classification".Medicina (Kaunas, Lithuania) · 2025Article
- Open Reduction and Internal Fixation Is a Feasible Alternative to Femoral Revision Arthroplasty in Geriatric Patients with Vancouver B2/3 Type Periprosthetic Fractures: A Study Analyzing In-Hospital Outcomes.Journal of clinical medicine · 2024Article
- Who Is Treating Periprosthetic Femur Fractures? An Analysis of the Periprosthetic Research Consortium.Arthroplasty today · 2024Article
- Do All Postoperative Vancouver B2 Fractures Require Revision Arthroplasty With Cementless Stems?Arthroplasty today · 2024Article
- Periprosthetic Femoral Fractures-Beyond B2.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Review
- Periprosthetic Hip Fractures around the Stem: Can the Stem Design Affect Fracture Features?Journal of clinical medicine · 2024Article
- Analysis of complications in 97 periprosthetic Vancouver B2 fractures treated either by internal fixation or revision arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- Open Reduction and Internal Fixation for Vancouver B1 and B2 Periprosthetic Femoral Fractures: A Proportional Meta-Analysis.Hip & pelvis · 2023Article
- Surgeon-Stratified Periprosthetic Fracture Risk in a Single-Hospital Cohort of 1531 Uncemented ABG-II Femoral Stems at Primary Total Hip Arthroplasty.Indian journal of orthopaedics · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSeveral studies comparing osteosynthesis and stem revision in Vancouver B2 (VB2) periprosthetic hip fractures (PPHF) have been published. This work aims to be the first systematic review and meta-analysis to include only studies involving statistical comparison between the two techniques.
methodsMEDLINE, EMBASE, Cochrane Library, and Web of Science databases were systematically searched from inception to October 2021 for studies involving a comparison between VB2 treated by osteosynthesis versus revision arthroplasty. The effect size (ES) was calculated using Cohen´s d index.
resultsFrom 17 published studies selected, a total of 856 patients were recruited (363 osteosynthesis / 493 revision arthroplasty). The pooled ES estimates for the Parker mobility score were 1.03 (95% CI, 0.22-1.84; I2 = 87.7%) for ORIF surgery, and 0.54 (95% CI, - 0.10-1.17; I2 = 83%) for revision surgery. The pooled ES estimates for the operative time, reintervention, complications, hospital stay and needing for blood transfusion were significant lower in ORIF than in revision surgery. There were no differences in first-year mortality between groups. There was a higher proportion of ASA > 3 patients in the ORIF group.
conclusionOsteosynthesis versus revision arthroplasty has a shorter operative time, less need for blood transfusion, fewer complications and reoperation rate and shorter hospital stay. Nonetheless, similar results were found for functional tests and first-year mortality. These results support the use of osteosynthesis in selected patients (low functional demand, multiple comorbidities, and high anesthetic risk). LEVEL OF EVIDENCE: III.
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