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KMID : 0386420200330010043
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Journal of the Korean Fracture Society
2020 Volume.33 No. 1 p.43 ~ p.51
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Treatment of Periprosthetic Femoral Fractures after Hip Arthroplasty
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Choi Jung-Hoon
Jeon Jong-Hyuk
Lee Kyung-Jae
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Abstract
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Although the incidence of postoperative periprosthetic femoral fractures after hip arthroplasty is expected to increase, these complex fractures are still challenging complications. To obtain optimal results for these fractures, thorough clinical and radiographic evaluation, precise classification, and understanding of modern management principles are mandatory. The Vancouver classification system is a simple, effective, and reproducible method for planning proper treatments of these injuries. The fractures associated with a stable femoral stem can be effectively treated with osteosynthesis, though periprosthetic femoral fractures associated with a loose stem require revision arthroplasty. We describe here the principles of proper treatment for the patients with periprosthetic femoral fractures as well as how to avoid complications.
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KEYWORD
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Femur, Periprosthetic fracture, Hip arthroplasty, Vancouver classification
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