Survivorship After Periprosthetic Femur Fracture: Factors Affecting Outcome

Drew, Jacob M.; Griffin, William L.; Odum, Susan M.; Doren, Bryce Van; Weston, Brock T.; Stryker, Louis S.

doi:10.1016/j.arth.2015.11.038

Cited by 106 publications

(55 citation statements)

References 25 publications

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“…Patients undergoing surgery to treat lower extremity PPFX face substantial risk of morbidity and mortality. Wound complications and SSI's are among the leading causes for reoperation following PPFX surgery [1,8,13], adding to the potential morbidity in this challenging patient population. The present study demonstrates that patients treated with ciNPT developed significantly fewer wound complications and deep infections than patients treated with a standard antimicrobial dressing, and were significantly less likely to require reoperation in the early postoperative period.…”

Section: Discussionmentioning

confidence: 99%

“…Periprosthetic fractures (PPFXs) represent an increasingly common failure mode following total hip arthroplasty (THA) and total knee arthroplasty (TKA), with a reported lifetime prevalence of up to 4.2% following THA and up to 2.5% following TKA [1]. Treatment of PPFXs accounts for approximately 6% of revision hip procedures [2][3][4] and 2-3% of revision knee procedures [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

“…Treatment of PPFXs accounts for approximately 6% of revision hip procedures [2][3][4] and 2-3% of revision knee procedures [3][4][5]. Presently, approximately 15,000 PPFXs are treated annually in the United States [1], however this number is expected to increase substantially as the revision burden grows with time [6].…”

Section: Introductionmentioning

confidence: 99%

“…Patients sustaining PPFXs face considerable perioperative morbidity, with mortality rates of 11-27% in the first year following surgery [1,7,8,[9][10][11]. This risk may be related, in part, to the high risk of reoperation (12-33%) within the first year [1,13] [1,8912,13]. In this patient population, many of the reoperations result from problems with the surgical incision, with surgical site infection (SSI) rates reported to range between 9 and 26%.…”

Section: Introductionmentioning

confidence: 99%

“…In this patient population, many of the reoperations result from problems with the surgical incision, with surgical site infection (SSI) rates reported to range between 9 and 26%. [1,8,13,14].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Closed incision negative pressure therapy decreases complications after periprosthetic fracture surgery around the hip and knee

Cooper

Roc

Bas

et al. 2018

Injury

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show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Closed incision negative pressure therapy decreases complications after periprosthetic fracture surgery around the hip and knee

Cooper

Roc

Bas

et al. 2018

Injury

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show abstract

Cementless femoral stem revision in total hip arthroplasty: The periprosthetic clamshell fracture. A biomechanical investigation

Kastner

Gueorguiev

Richards

et al. 2022

Journal Orthopaedic Research

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To biomechanically evaluate the stability of a diaphyseal anchored, cementless stem in presence of a proximal periprosthetic femoral medial wall defect compared to the stability of the same stem in an intact femur. Twenty-two paired human cadaveric femora were pairwise assigned either to a fracture group, featuring a proximal medial wall defect involving 40% of the stems medial anchorage distance, or a control group with native specimens. The specimens were tested under a monotonically increasing cyclic axial loading protocol. Load, cycles, and multiples of the respective body weight at implant loosening was measured. Mean initial stiffness was 2243.9 ± 467.9 N/mm for the intact group and 2190.1 ± 474.8 N/mm for the fracture group. Mean load to loosening in the intact group was 3210.5 ± 1073.2 N and 2543.6 ± 576.4 N in the fracture group, with statistical significance. Mean cycles to loosening in the intact group were 27104.9 ± 10731.7 and 20431.5 ± 5763.7 in the fracture group, with statistical significance. Mean multiples of the resulting body weight at loosening in the intact group was 548.3 ± 158.5% and 441.4 ± 104% in the fracture group, with statistical significance. A medial wall defect involving 40% of the medial anchorage distance significantly decreases the axial stability of a diaphyseal anchored stem. However, mechanical failure occurred beyond physiological stress. At loosening rates of about 4 multiples of the body weight in the fracture group, a "safe zone" remains of a 0.5-fold body weight for maximum loads and twofold body weights for average loads.

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Total Hip Replacement for Fragility Fractures Using the ABMS Approach in the Older Adult

Held

McCormick

Geller

2022

The Anterior-Based Muscle-Sparing Approach to Total Hip Arthroplasty

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Survivorship After Periprosthetic Femur Fracture: Factors Affecting Outcome

Cited by 106 publications

References 25 publications

Closed incision negative pressure therapy decreases complications after periprosthetic fracture surgery around the hip and knee

Closed incision negative pressure therapy decreases complications after periprosthetic fracture surgery around the hip and knee

Cementless femoral stem revision in total hip arthroplasty: The periprosthetic clamshell fracture. A biomechanical investigation

Total Hip Replacement for Fragility Fractures Using the ABMS Approach in the Older Adult

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