Long-term outcomes and complications of Periprosthetic Fractures of the Proximal Femur: A Retrospective Review of 48 Patients

Author:

YAVUZ İbrahim Alper1,KOÇAK Cahit2,İNCİ Fatih3,CEYHAN Erman3,YİLDİRİM Ahmet Özgür3,ÖKEN Fuad3

Affiliation:

1. SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ESKİŞEHİR ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI

2. Özel Doruk Yıldırım Hastanesi

3. SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ANKARA ŞEHİR SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI

Abstract

Objectives: Periprosthetic fractures, especially periprosthetic proximal femur fractures, are an increasingly important orthopaedic problem. The aim of this study is to evaluate long-term results, mortality and complications of periprosthetic fractures. Methods: Patients who had proximal femur periprosthetic fracture were evaluated retrospectively. Patients with Vancouver type B1 and C were treated with plate-screw osteosynthesis and patients with Vancouver type B2 were operated using revision femoral systems. Follow-up was evaluated by clinical and radiographic, and functional results were assessed by Gos scoring. Results: Totally 48 patients were evaluated retrospectively. 16 patients (33.3%) were type B1, 18 patients (37.5%) were type B2 and 14 patients (29.2%) were type C. 30 patients (62.5%) with type B1 and C were treated with plate screw osteosynthesis and 18 patients (37.5%) with type B2 treated with revision femoral systems. There was a significant correlation between the surgical method applied and both mortality and preop/postop GOS scoring systems (p

Publisher

Acibadem Universitesi Saglik Bilimleri Dergisi

Subject

General Engineering,Ocean Engineering

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