Long-term outcomes and complications of Periprosthetic Fractures of the Proximal Femur: A Retrospective Review of 48 Patients

Authors : İbrahim Alper YAVUZ, Cahit KOÇAK, Fatih İNCİ, Erman CEYHAN, Ahmet Özgür YİLDİRİM, Fuad ÖKEN

Pages : 514-519

Doi:10.31067/acusaglik.1100641

View : 27 | Download : 8

Publication Date : 2022-10-01

Article Type : Research Paper

Abstract :Objectives: Periprosthetic fractures, especially periprosthetic proximal femur fractures, are an increasingly important orthopaedic problem. The aim of this study is to evaluate long-term results, mortality and complications of periprosthetic fractures. Methods: Patients who had proximal femur periprosthetic fracture were evaluated retrospectively. Patients with Vancouver type B1 and C were treated with plate-screw osteosynthesis and patients with Vancouver type B2 were operated using revision femoral systems. Follow-up was evaluated by clinical and radiographic, and functional results were assessed by Gos scoring. Results: Totally 48 patients were evaluated retrospectively. 16 patients insert ignore into journalissuearticles values(33.3%); were type B1, 18 patients insert ignore into journalissuearticles values(37.5%); were type B2 and 14 patients insert ignore into journalissuearticles values(29.2%); were type C. 30 patients insert ignore into journalissuearticles values(62.5%); with type B1 and C were treated with plate screw osteosynthesis and 18 patients insert ignore into journalissuearticles values(37.5%); with type B2 treated with revision femoral systems. There was a significant correlation between the surgical method applied and both mortality and preop/postop GOS scoring systems insert ignore into journalissuearticles values(p <0.05);. Complications and/or the need for intensive care were seen in 28 patients insert ignore into journalissuearticles values(58.3%); only 1insert ignore into journalissuearticles values(2.1%); of these was due to iatrogenic. In total, 20 patients insert ignore into journalissuearticles values(41.7%); from 48 patients could complete the procedure without any problems. Conclusion: As a result of our study, 58% of patients with periprosthetic femur fractures had complications and need intensive care during the treatment process. Periprosthetic proximal femur fractures, which are generally seen in the elderly population, are injuries with very high complication, mortality and morbidity rates. Therefore, it is recommended that surgeons pay maximum attention during the treatment process.
Keywords : Periprosthetic Femur Fracture, Long term Results, Glasgow Outcome Scale GOS, , Mortality, Complications