International Orthopaedics May 2012, Volume 36, Issue 5, pp 1045–1050

Management of Vancouver B2 and B3 femoral periprosthetic fractures using a modular cementless stem without allografting

Neumann, D., Thaler, C. & Dorn, U.

Hip

Purpose

We reviewed our experience with the management of B2 and B3 femoral periprosthetic fractures using a distally fixed modular femoral stem in 55 patients.

Methods

All periprosthetic fractures were managed immediately after injury without using allograft; 53 hips were available for a mean follow up of 67 months.

Results

All fractures united, and the mean Harris hip score at the last follow up was 72. Subsidence was noted in two patients (4%) within six months postoperatively and required revision surgery. One patient developed peroneal nerve palsy. Two hips dislocated and were managed by closed reduction.

Conclusion

In these severe cases of periprosthetic fracture, the technique reviewed here proved to be reliable.

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