PERIPROSTHETIC FRACTURES TREATED WITH UNCEMENTED REVISION HIP ARTHTOPLASTY

Objectives

Periprosthetic fractures in hip arthroplasty are challenging because of the bone stock and bone
quality. The best solution for unstable fractures (Vancouver B3) is uncemented extensively porous-
coated femoral stem.

Materials and methods

We present a retrospective analysis of 4 cases operated in our clinic during the last 2 years. The
mean age in our group was 67 years old (54-73). In three cases, the femoral implant was an uncemented
stem and in one case the patient had a cemented stem. The causing mechanism was a low-energy
trauma (same level fall) in two cases, in one case was a high-energy trauma (pedestrian car accident)
and in the last case no trauma was reported (periprosthetic fracture 6 weeks after uncemented total hip
artrhoplasty).

Results

All four patients had good short and midterm results. One patient suffered an abundant lavage
and secondary suture 7 days postoperative.

Conclusions

In our opinion uncemented revision with cables for type B3 fractures is the elective method of
treatment.

Keywords

Periprosthetic fracture, hip artrhoplasty, uncemented revision arthroplasty