Treatment of type B periprosthetic femur fractures with curved non-locking plate with eccentric holes: Retrospective study of 43 patients with minimum 1-year follow-up.

Détails

ID Serval
serval:BIB_B1816F7FBC8D
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Treatment of type B periprosthetic femur fractures with curved non-locking plate with eccentric holes: Retrospective study of 43 patients with minimum 1-year follow-up.
Périodique
Orthopaedics and Traumatology, Surgery and Research
Auteur(s)
Lunebourg A., Mouhsine E., Cherix S., Ollivier M., Chevalley F., Wettstein M.
ISSN
1877-0568 (Electronic)
ISSN-L
1877-0568
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
101
Numéro
3
Pages
277-282
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
INTRODUCTION: Periprosthetic femur fracture (PFF) is a serious complication after total hip arthroplasty that can be treated using different internal fixation devices. However, the outcomes with curved non-locking plates with eccentric holes in this indication have not been reported previously. The objectives of this study were to determine: (1) the union rate; (2) the complication rate; (3) autonomy in a group of patients with a Vancouver type B PFF who were treated with this plate.
HYPOTHESIS: Use of this plate results in a high union rate with minimal mechanical complications.
MATERIALS AND METHODS: Forty-three patients with a mean age of 79 years±13 (41-98) who had undergone fixation of Vancouver type B PFF with this plate between 2002 and 2007 were included in the study. The time to union and Parker Mobility Score were evaluated. The revision-free survival (all causes) was calculated using Kaplan-Meier analysis. The average follow-up was 42 months±20 (16-90).
RESULTS: Union was obtained in all patients in a mean of 2.4 months±0.6 (2-4). One patient had varus malunion of the femur. The Parker Mobility Score decreased from 5.93±1.94 (2-9) to 4.93±1.8 (1-9) (P=0.01). Two patients required a surgical revision: one for an infection after 4.5 years and one for stem loosening. The survival of the femoral stem 5 years after fracture fixation was 83.3%±12.6%.
CONCLUSION: Use of a curved plate with eccentric holes for treating type B PFF led to a high union rate and a low number of fixation-related complications. However, PFF remains a serious complication of hip arthroplasty that is accompanied by high morbidity and mortality rates.
LEVEL OF EVIDENCE: Retrospective study, level IV.
Pubmed
Web of science
Open Access
Oui
Création de la notice
31/05/2015 9:37
Dernière modification de la notice
20/08/2019 16:20
Données d'usage