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KMID : 0361620210560030200
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Journal of the Korean Orthopaedic Association
2021 Volume.56 No. 3 p.200 ~ p.207
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Decision-Making and Principle of Management in Periprosthetic Femoral Fracture after Total Hip Arthroplasty
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Kim Beom-Soo
Lee Kyung-Jae
Min Byung-Woo
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Abstract
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Periprosthetic femoral fractures remain as one of the most challenging complications following total hip arthroplasty. A thorough clinical and radiographic evaluation, precise classification, and understanding of modern management principles are essential to obtain optimal results for these fractures. The Vancouver classification system is a simple, effective, and reproducible method for the planning treatments of these injuries. The fractures associated with a stable femoral stem can be treated effectively with osteosynthesis, but periprosthetic femoral fractures associated with a loose stem require revision arthroplasty. This paper describes the principle of the treatment of patients with periprosthetic femoral fractures and how to assess the stability of the femoral stem.
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KEYWORD
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hip joint, arthroplasty, femur, periprosthetic fractures, decision making, treatment
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