Complications
A 78-year-old woman who had a cemented total hip arthroplasty 10 years ago presents after a fall. She cannot bear weight and has a shortened, externally rotated leg. Radiographs show a spiral fracture around the femoral stem with the tip of the stem at the fracture site. There is apparent loosening of the cemented stem with radiolucent lines. The acetabular component appears well-fixed. Regarding periprosthetic hip fractures:
Mark each as TRUE or FALSE
The Vancouver classification is used for postoperative periprosthetic femoral fractures: Type A (tro...
Vancouver B1 fractures (stem well-fixed, adequate bone stock) are treated with ORIF using cables, pl...
Vancouver B2 fractures are treated with ORIF alone; B1 fractures require stem revision; B3 fractures...
Vancouver B2 fractures (stem loose, adequate bone) require revision to a long uncemented stem bypass...
Risk factors include: osteoporosis, osteolysis around the implant, previous revision surgery, rheuma...
Answer the questions to see explanations
Click T (True) or F (False) for each option