[Traumatic Periprosthetic Fractures in Patients with Total Hip Replacement]

Overview

Journal Unfallchirurg

Date 2019 Oct 26

PMID 31650191

Citations 1

Authors

Philipp Lichte

Philipp Kobbe

Miguel Pishnamaz

Frank Hildebrand

Affiliations

Soon will be listed here.

Abstract

The incidence of periprosthetic hip fractures is increasing due to the increase in endoprosthetic hip replacements. These fractures require a staged and individual treatment concept with the aim of mobilization of the patient as early as possible. The special challenge in the diagnostics is to identify pre-existing signs of loosening of the prosthesis. When the prosthesis is still firmly fixed femoral fractures can be treated with angular stable osteosynthesis. Loosened stems usually have to be revised, mostly in combination with osteosynthesis. Fractures around the acetabulum with a fixed cup can be treated nonoperatively or with osteosynthesis, while loosened cups have to be revised. In revision surgery the stabilization of the dorsal column is crucial for a successful outcome.

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