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Periprosthetic Fracture 

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  1. 01-04-2024 | Periprosthetic Fracture | Online First

    Periprosthetic fractures are osteoporotic fractures: missed opportunities for osteoporosis diagnosis

    Approximately 7 million Americans are living with a total hip or total knee replacement [ 1 ]. The number of patients undergoing total hip and total knee arthroplasty procedures is projected to reach 4 million annually by 2030, representing an …

  2. 02-05-2024 | Periprosthetic Fracture | Online First

    Cemented vs cementless stems for revision arthroplasties due to Vancouver B2 periprosthetic hip fracture

    As long as the number of total hip arthroplasties (THA) increases all around the world, the number of complications such as periprosthetic fractures also rises. Hence, periprosthetic hip fractures (PHF) are the third most common reason for …

  3. 05-04-2024 | Hip-TEP | Online First

    Letter to editor “Periprosthetic fracture following arthroplasty for femoral neck fracture: Is a cemented stem protective?”

  4. 15-04-2024 | Periprosthetic Fracture | Online First

    The cost-effectiveness of osteoporosis medications for preventing periprosthetic fractures following femoral neck fracture indicated hip arthroplasty: a break-even analysis

    For each decade of life after the age of 50, the risk of hip fracture doubles [ 1 ]. Due to the aging population, the volume of worldwide hip fractures was projected to increase from 1.7 million in 1990 to 6.3 million in 2050 [ 2 ]. Although they …

  5. 25-04-2024 | Periprosthetic Fracture | Online First

    What are the predisposing factors for periprosthetic fractures following total hip arthroplasty? – a National Inpatient Sample-based study

    Peri-prosthetic fractures (PPF)of the femur are uncommon, but complex complications following total hip arthroplasty (THA) [ 1 ]. They cause substantial disability and morbidity to the patients; and often require technically demanding revision …

  6. 05-03-2024 | Periprosthetic Fracture | OriginalPaper

    Experimental periprosthetic fractures with collarless polished tapered cemented stems

    Currently, “revisiting” cemented total hip arthroplasty (THA) is a worldwide trend, although many uncemented THAs has been performed around the world [ 1 ]. Cemented stems are preferable to uncemented stems in terms of the incidence of …

  7. Open Access 30-03-2024 | Femoral Fracture | OriginalPaper

    Health-related quality of life (EQ-5D) after revision arthroplasty following periprosthetic femoral fractures Vancouver B2 and B3 in geriatric trauma patients

    Projections for different countries are forecasting a higher total number of total hip arthroplasties (THA) over the next decades rising between 12% and 219% [ 1 – 3 ]. The cumulative risk for sustaining a periprosthetic femoral fracture (PPFF) …

  8. 11-03-2024 | Hip-TEP | Online First

    Periprosthetic fracture following arthroplasty for femoral neck fracture: is a cemented stem protective?

    Femoral neck fractures (FNF) are a common injury primarily affecting the elderly population and are associated with high morbidity and mortality [ 1 – 4 ]. In the US, the incidence of FNF in individuals > 65 years old is 146 per 100,000 individuals …

  9. Open Access 23-04-2024 | Femoral Fracture | Online First

    Long stem revision versus short stem revision with plate osteosynthesis for Vancouver type B2 periprosthetic femoral fracture: a comparative study of eighty five cases

    Periprosthetic femoral fractures (PPFs) are a serious complication that can arise after total hip arthroplasty (THA) or bipolar hemiarthroplasty procedures [ 4 , 18 ]. These fractures occur around the prosthetic components in the hip joint and can …

  10. 25-03-2024 | Online First

    Vancouver B2 periprosthetic hip fractures treatment: fix or replace? A retrospective study comparing both techniques

    Periprosthetic hip fractures (PF) have an average incidence of 4%, ranging from 1 to 18% according to different series, more often affecting older patients with comorbidities [ 1 , 2 ]. Several factors have been described to contribute to the …

  11. Open Access 01-12-2024 | Periprosthetic Fracture | OriginalPaper

    Optimizing periprosthetic fracture management and in-hospital outcome: insights from the PIPPAS multicentric study of 1387 cases in Spain

    Surgical treatment of periprosthetic fractures (PPF) presents challenges due to factors such as the prosthesis, bone defects, remodelling, and osteoporosis, which may hinder reduction and fixation [ 1 – 3 ]. Operative strategies aim to maintain …

  12. Open Access 24-02-2024 | Periprosthetic Fracture | OriginalPaper

    Analysis of complications in 97 periprosthetic Vancouver B2 fractures treated either by internal fixation or revision arthroplasty

    Periprosthetic fractures (PPFx) after total hip arthroplasty (THA) were the second most frequent cause of revision arthroplasty (RA) in 2014 in the US with a 36% increase since 2002 and an estimated 70% increase until 2030 [ 1 ]. Overall, between …

  13. 29-03-2024 | Periprosthetic Fracture | Online First

    Impact of surgical timing and type of operative procedure on outcomes in periprosthetic hip fractures: an observational study at an NHS trust centre in the UK

    Major joint arthroplasty is a highly p statistical analysis red and efficient orthopaedic surgery. The relevant registries indicate a growing global demand for these operations. The phenomena of an ageing population, the increasing need for …

  14. 29-12-2023 | Hip-TEP | OriginalPaper

    Are periprosthetic hip fractures more severe than native hip fractures? A systematic review of outcomes and resource utilization

    Total hip arthroplasty (THA) is a common surgical procedure expected to increase in frequency over the coming decades [ 1 ]. THA incidence continues to rise due to increased life expectancy, efficacy of the procedure, improved surgical techniques …

  15. 12-01-2024 | Periprosthetic Fracture | OriginalPaper

    Undersizing of the tibial component in Oxford unicompartmental knee arthroplasty (UKA) increases the risk of periprosthetic fractures

    Unicompartmental knee arthroplasty (UKA) is a well-established treatment for isolated compartmental knee osteoarthritis, particularly for defects involving only the medial compartment. Patients benefit from high satisfaction, low complication …

  16. 19-09-2023 | Acetabular Fracture | OriginalPaper

    Incidence and outcomes of intraoperative periprosthetic acetabular fractures during cementless total hip arthroplasty: a prospective three-dimensional computer tomography-based study

    Press-fit impaction of the acetabular component is increasingly being performed during primary total hip arthroplasty (THA) [ 1 ]. However, under-reaming of the acetabulum followed by press-fit impaction may produce an occult acetabular fracture

  17. Open Access 26-09-2023 | Periprosthetic Femur Fracture | OriginalPaper

    Perioperative periprosthetic femur fracture associated with direct anterior total hip arthroplasty using metaphyseal fit and fill stem

    After first being described by Smith and Peterson in 1917 and through its mainstream orthopedic popularization in the 1980s and 1990s, the direct anterior approach (DAA) to the hip has become one of the more popular surgical approaches utilized …

  18. 20-10-2023 | Periprosthetic Fracture | OriginalPaper

    Non-operative management of humeral periprosthetic fracture after stemless shoulder arthroplasty

    Stemless shoulder arthroplasty has been proposed in both anatomic total shoulder arthroplasty (aTSA) and reverse shoulder arthroplasty (RSA) to decrease the risk of humeral complications after shoulder arthroplasty. Indeed, these implants have …

  19. Open Access 01-12-2023 | Periprosthetic Fracture | OriginalPaper

    Outcomes of fixation of Vancouver B periprosthetic fractures around cemented versus uncemented stems

    As the volume and indications for total hip arthroplasties (THAs) continue to grow, so does the prevalence of periprosthetic femur fractures (PPFF) [ 1 – 3 ]. The Vancouver system is a three-category system based on fracture location, implant …

  20. 24-08-2023 | Periprosthetic Fracture | OriginalPaper

    Periprosthetic fracture following anterior approach or dislocation after posterior approach: which one is the lesser evil?

    The three most common approaches [posterior (PA), lateral, and anterior (AA)] for total hip arthroplasty (THA), have well-documented advantages and disadvantages [ 1 – 4 ]. AA has recently gained popularity [ 5 , 6 ], because it is an inter-nervous …

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