THA Complications
A 78-year-old woman with a 10-year-old cemented total hip arthroplasty presents after a fall from standing. Radiographs show a spiral fracture extending from below the tip of the femoral stem distally. The stem appears well-fixed without evidence of loosening. The bone quality is osteoporotic. Regarding periprosthetic femur fractures:
Mark each as TRUE or FALSE
The incidence of periprosthetic femur fractures is 0.1-2% for primary THA and 4-18% for revision THA...
The Vancouver classification guides treatment: Type A (trochanteric - AG greater trochanter, AL less...
Cemented stems have higher periprosthetic fracture rates than uncemented; Vancouver B3 indicates a w...
Vancouver B1 (well-fixed stem) treatment is ORIF with plate fixation using cables/wires around the p...
Vancouver B2 (loose stem, good bone) requires revision to a longer, uncemented, diaphyseal-engaging ...
Answer the questions to see explanations
Click T (True) or F (False) for each option