Results of cemented femoral revisions for periprosthetic femoral fractures in the elderly

  • K. C
  • S.J. M
  • R.W. M
 et al. 
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Abstract

The treatment goals of Vancouver type B2 periprosthetic femoral fractures in elderly patients with a limited life expectancy are early weight bearing without compromising the fracture healing. Thirty-one patients with a mean age of 82 years were treated with a long cemented stem with additional allograft or plate fixation, followed by immediate full weight bearing. Seven major complications occurred within the first 3 months postoperatively. Forty-three percent of patients had died within the first year with their implant in place. Sixteen patients had survived more than 1 year. None of the implants had to be revised at a mean follow-up of 46 months. The results of this series suggest that this technique can provide acceptable results and offers the advantages of reduced cost and early weight bearing. © 2012.

Author-supplied keywords

  • adult
  • aged
  • antibiotic agent
  • antibiotic therapy
  • article
  • bone cement
  • clinical article
  • debridement
  • female
  • femur fracture
  • follow up
  • fracture healing
  • geriatric disorder
  • health care cost
  • human
  • male
  • periprosthetic fracture
  • plate fixation
  • postoperative period
  • surgical infection
  • survival
  • weight bearing

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Authors

  • Corten K.

  • MacDonald S.J.

  • McCalden R.W.

  • Bourne R.B.

  • Naudie D.D.R.

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