Periprosthetic femoral fractures around the original cemented polished triple-tapered C-stem femoral implant: a consecutive series of 500 primary total hip arthroplasties with an average follow-up of 15 years

被引:5
作者
Baryeh, Kwaku [1 ]
Wang, Chao [2 ]
Sochart, David H. [3 ,4 ]
机构
[1] West Middlesex Univ Hosp, PostGrad Med Educ, Twickenham Rd, Islewoth TW7 6AF, Middlesex, England
[2] Kingston Univ, Dept Stat, River House,53-57 High St, Kingston Upon Thames KT1 1LQ, Surrey, England
[3] South West London Elect Orthopaed Ctr, Acad Unit, Dorking Rd, Epsom KT18 7EG, England
[4] Univ Salford, Sch Hlth & Soc, Prestwood Rd, Salford M50 2EQ, Manchester, England
关键词
Periprosthetic femoral fracture; Cemented; Polished; Taper-slip; Hip arthroplasty; RISK; COMPONENT; MINIMUM; CLASSIFICATION; EPIDEMIOLOGY; REVISION; OUTCOMES; DESIGN; FEMUR;
D O I
10.1007/s00402-022-04712-x
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Introduction The true incidence of periprosthetic femoral fracture (PFF) around cemented polished taper-slip implants remains largely unknown. Registries usually only capture PFFs that result in revision, missing those managed non-operatively or treated by open reduction and internal fixation (ORIF). This study reports the long-term rate of PFF with the original triple-tapered C-stem femoral implant. Materials and methods A prospective review of a consecutive series of 500 primary total hip arthroplasties (THAs) performed at a single centre between March 2000 and December 2005, with average follow-up of 15 years (12-19 years). Results There were 500 consecutive THAs in 455 patients. Seven PFFs (1.4%) occurred in seven patients at an average of 7.9 years (range 2-11.5) from the primary arthroplasty. Five PFFs were managed by ORIF, one Vancouver B3 fracture was revised for a loose implant and one patient was treated non-operatively. Average age at primary operation was 74 years (67-87) and BMI averaged 27.3 (22-31). There was no typical fracture pattern and no statistically significant associations with patient demographics (age, gender, BMI, diagnosis) or prosthetic details (size, offset, alignment, cement mantle, subsidence). Survivorship to the occurrence of PFF was 99% (97.3-99.6%) at 10 years and 97.8% (95.5-99.0%) at 15. Conclusion A PFF rate of 1.4% at an average follow-up of 15 years represents the true incidence of PFF with the use of the original triple-tapered C-Stem femoral implant, similar to that of published Exeter series (1.85%) but lower than the CPT (3.3%).
引用
收藏
页码:4511 / 4518
页数:8
相关论文
共 32 条
[1]  
Abdel MP, 2016, BONE JOINT J, V98B, P461, DOI [10.1302/0301-620X.98B4, 10.1302/0301-620X.98B4.37201]
[2]   Validation of revision data for total hip and knee replacements undertaken at a high volume orthopaedic centre against data held on the National Joint Registry [J].
Afzal, Irrum ;
Radha, Sarkhell ;
Smoljanovic, Tomislav ;
Stafford, Giles H. ;
Twyman, Roy ;
Field, Richard E. .
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, 2019, 14 (01)
[3]   Management and outcomes of femoral periprosthetic fractures at the hip DATA FROM THE CHARACTERISTICS, OUTCOMES AND MANAGEMENT OF PERIPROSTHETIC FRACTURE SERVICE EVALUATION (COMPOSE) COHORT STUDY [J].
Baker, Paul .
BONE & JOINT JOURNAL, 2022, 104B (08) :997-1008
[4]   Epidemiology and characteristics of femoral periprosthetic fractures DATA FROM THE CHARACTERISTICS, OUTCOMES AND MANAGEMENT OF PERIPROSTHETIC FRACTURE SERVICE EVALUATION (COMPOSE) COHORT STUDY [J].
Baker, Paul .
BONE & JOINT JOURNAL, 2022, 104B (08) :987-996
[5]   IMPROVED CEMENTING TECHNIQUES AND FEMORAL COMPONENT LOOSENING IN YOUNG-PATIENTS WITH HIP-ARTHROPLASTY - A 12-YEAR RADIOGRAPHIC REVIEW [J].
BARRACK, RL ;
MULROY, RD ;
HARRIS, WH .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1992, 74 (03) :385-389
[6]   Post-operative peri-prosthetic fracture rates following the use of cemented polished taper-slip stems for primary total hip arthroplasty: a systematic review [J].
Baryeh, Kwaku ;
Sochart, David H. .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2022, 142 (12) :4075-4085
[7]   High risk of early periprosthetic fractures after primary hip arthroplasty in elderly patients using a cemented, tapered, polished stem [J].
Broden, Cyrus ;
Mukka, Sebastian ;
Muren, Olle ;
Eisler, Thomas ;
Boden, Henrik ;
Stark, Andre ;
Skoldenberg, Olof .
ACTA ORTHOPAEDICA, 2015, 86 (02) :169-174
[8]   Clinical and radiological results of the collarless polished tapered stem at 15 years follow-up [J].
Burston, B. J. ;
Barnett, A. J. ;
Amirfeyz, R. ;
Yates, P. J. ;
Bannister, G. C. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2012, 94B (07) :889-894
[9]   Periprosthetic femoral fractures and trying to avoid them WHAT IS THE CONTRIBUTION OF FEMORAL COMPONENT DESIGN TO THE INCREASED RISK OF PERIPROSTHETIC FEMORAL FRACTURE? [J].
Carli, A. V. ;
Negus, J. J. ;
Haddad, F. S. .
BONE & JOINT JOURNAL, 2017, 99B (01) :50-59
[10]   Surgical treatment of Vancouver type B periprosthetic femoral fractures PATIENT CHARACTERISTICS AND OUTCOMES OF 1381 FRACTURES TREATED IN SWEDEN BETWEEN 2001 AND 2011 [J].
Chatziagorou, G. ;
Lindahl, H. ;
Karrholm, J. .
BONE & JOINT JOURNAL, 2019, 101B (11) :1447-1458