Routine Fracture Fixation for a Periprosthetic Hip Fracture Below Birmingham Hip Resurfacing

Abstract

Case: We present a case of a 56-year-old man who sustained a basal cervical periprosthetic fracture around a well-fixed metal-on-metal hip resurfacing arthroplasty (MoMHRA). Although several fixation methods have been described, there seems to be no consensus about the optimal fixation method for fractures around MoMHRAs. This fracture could be regarded as a Vancouver type-B1 or -C periprosthetic fracture, so we successfully treated our patient in a standard way with a dynamic hip screw (DHS) and one cannulated hip screw. Conclusion: We describe DHS fixation as a successful treatment option for periprosthetic hip fractures around well-fixed MoMHRA.

Internal fixation of a periprosthetic fracture after Copeland shoulder resurfacing. A case report, literature review, and proposed treatment algorithm

“…Internal fixation of a periprosthetic hip fracture below a Birmingham Hip Resurfacing arthroplasty using a Dynamic Hip Screw (DePuy Synthes) and a cannulated screw has been reported in the literature with good results. 13 …”

“…Internal fixation of a periprosthetic hip fracture below a Birmingham Hip Resurfacing arthroplasty using a Dynamic Hip Screw (DePuy Synthes) and a cannulated screw has been reported in the literature with good results. 13 In Figure 5 we present an algorithm for the treatment of periprosthetic fractures after shoulder resurfacing arthroplasty. The stability of the humeral cap is crucial as this will dictate the need for an arthroplasty.…”

Fixation and Implant Retention of Extracapsular Femoral Neck Periprosthetic Fractures Around Hip Resurfacing Arthroplasty – A Case Series

“…According to the literature, the most commonly reported technique for fixation of an extracapsular fracture in the presence of a well-fixed RHA is the use of a contoured locking compression plate (LCP) [ 11 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 ].There have also been reported incidences of this type of periprosthetic fracture being treated non-operatively [ 8 , 9 , 31 ]. Other techniques are reported – particularly the use of an intramedullary nail, proximal femoral blade plate, and dynamic hip screw [ 16 , 20 , 24 , 28 , 30 , 32 , 33 ]. However, there are recognized downsides to these devices including concerns about the adequacy of screw purchase in the proximal femur around the RHA.…”