Results after surgical treatment of periprosthetic proximal femoral fractures. Osteosynthesis with prosthesis preservation vs. prosthesis change

2020/09/18 by Dirk Zajonz, Zajonz, Dirk, Cathleen Pönick +13
Medicine · #Orthopaedic implants and arthroplasty #Total Knee Arthroplasty Outcomes #Orthopedic Infections and Treatments

paper · doi:10.3205/iprs000146

Abstract

The treatment of periprosthetic proximal fractures of the femur is dependent on the classification (Vancouver and Johannsen) and in particular on the prosthetic anchoring as well as the extent of the comminution zone. Older patients and patients with osteoporosis are more frequently treated with an endoprosthesis revision. Patients, who have been treated with an osteosynthesis for preserving their endoprosthesis, showed a shorter length of in-patient stay and fewer complications than people with replacement surgery. In contrast to that, patients with prosthesis revision had better outcomes concerning the score of Merle d'Aubigné and Postel.

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