Table 2.
Periprosthetic fractures, surgical treatment, and surgical outcome. Values are n
| Vancouver classification | CPT | SP2 |
|---|---|---|
| A | 0 | 0 |
| B1 | 3 | 0 |
| B2 | 14 | 0 |
| B3 | 2 | 0 |
| C | 2 | 1 |
| Total | 21 | 1 |
| Surgical treatment | ||
| Open reduction and internal fixation | 7a | |
| Stem revision | 15b | |
| Surgical outcome | ||
| Deep infection reoperation | 5 | |
| Dislocation reoperation | 1 | |
| Refracture | 1 | |
| Healing without complication | 15 |
a
All type C and B1 fractures were treated with ORIF. In all cases, a femoral locking plate or cerclage wire was used.
b
B2 and B3 fractures were treated with stem revision, except 1 case where cerclage wires were used. In all stem revisions, the newly implanted femoral stem was reinforced with a femoral locking plate and/or cerclage wires.
2 periprosthetic femoral fractures. A. Vancouver B2 fracture around a CPT stem. B. Vancouver C fracture below a Lubinus stem.