Arthroplasty Complications
An 82-year-old woman with a 12-year-old cemented total hip replacement presents after a fall. She has severe thigh pain and cannot bear weight. Radiographs show a spiral fracture of the femur starting at the tip of the cemented stem and extending distally. The stem appears well-fixed without evidence of loosening. Bone quality appears osteoporotic. Regarding periprosthetic hip fractures:
Mark each as TRUE or FALSE
Periprosthetic hip fractures are classified using the Vancouver system: Type A (around trochanter - ...
Risk factors include: osteoporosis, rheumatoid arthritis, female sex, older age, revision surgery, o...
The Vancouver classification is based on acetabular involvement; stem stability is not important for...
Treatment by Vancouver type: AG - ORIF if displaced or symptomatic, AL - ORIF with cables/wires; B1 ...
Surgical technique considerations include: use of locking plates with cerclage cables for B1, extens...
Answer the questions to see explanations
Click T (True) or F (False) for each option