The management of periprosthetic fractures Oxford trimodular femoral stem. A survivorship study.

Journal article

A consecutive series of 40 periprosthetic femoral fractures, treated with revision hip surgery using the Oxford trimodular femoral stem, were retrospectively studied, with an average follow-up of 7.9 years. Fractures were classified according to the Vancouver classification. There were 5 type B1 fractures, 28 type B2, and 7 type C. Radiographic union was achieved in 38 (95%) hips. The mean time to fracture union was 3.5 months. The prosthesis survival at 5 years was 95% (confidence interval, 88%-100%). Clinical results were good with a mean Oxford hip score of 30 (hip score maximum, 48). Complications included 1 nonunion, 1 infection, 1 dislocation, and 2 aseptic loosening. The Oxford trimodular femoral component is a safe and reliable prosthesis for the treatment of periprosthetic femoral fractures with satisfactory medium-term results.

Authors: Fawzy, E; de Steiger, R; Gundle, R; McLardy-Smith, P; Murray, D

• Publication status: Published
• Journal: Journal of arthroplasty
• Volume: 24
• Issue: 6
• Pages: 909-913
• Publication date: 2009-09-01
• DOI: 10.1016/j.arth.2008.07.015
• EISSN: 1532-8406
• ISSN: 0883-5403
• Language: English
• Keywords: Reoperation; Treatment Outcome; Retrospective Studies; Periprosthetic Fractures; Follow-Up Studies; Hip Prosthesis; Hip Joint; Aged; Humans; Fracture Healing; Aged, 80 and over; Female; Male; Femoral Fractures; Arthroplasty, Replacement, Hip; Middle Aged