Complications
A 78-year-old woman with a cemented total hip arthroplasty performed 12 years ago presents after a fall. She has sudden onset left thigh pain and inability to bear weight. Radiographs reveal a spiral fracture of the femur around the tip of the stem with evidence of stem loosening and osteolysis. The acetabular component appears well-fixed. Regarding periprosthetic femoral fractures:
Mark each as TRUE or FALSE
The Vancouver classification is the most widely used system for periprosthetic femoral fractures aro...
Vancouver B1 fractures (fracture around stem, stem well-fixed) are treated with ORIF using plate fix...
Vancouver A fractures always require surgery; B1 fractures require stem revision; B2 fractures can b...
Vancouver B2 fractures (loose stem, adequate bone stock) require revision arthroplasty with a longer...
Vancouver C fractures (well below stem) are treated as standard femoral shaft fractures with ORIF or...
Answer the questions to see explanations
Click T (True) or F (False) for each option