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. 2017 Oct 25;14(2):189–196. doi: 10.11138/ccmbm/2017.14.1.189

Table 2.

Outcomes for femoral periprosthetic fractures surgically treated.

Authors Number of patients Mean age at surgery (years) Fracture type Surgical treatment Weight bearing Follow up (months) Union rate Clinical outcome (mean points) Complications
Neumann et al. 2011 (39) 55 74 (45–84) B2: 35
B3: 20
Modular tapered stem Partial weight bearing for 6 weeks.
Full weight bearing at 3 months
67 (60–144) 100% at 6 months Harris Hip Score 72(45–97) Stem subsidence: 2 (4%)
Nerve palsy: 1(2%)
Reoperation: 2 (4%)
Munro et al. 2014 (38) 55 72 (44–93) B2: 38
B3: 17
Modular tapered stem Partial weight bearing for 6 weeks.

Full weight bearing after complete healing
54 (24–143) 98% at 24 months WOMAC score: 76 Infection: 1 (2%)
Stem loosening: 1 (2%)
Stem subsidence: 2 (4%)
Dislocation: 2 (4%)
Refracture: 2 (4%)
Acetabular failure: 1 (2%)
Emathoma: 1 (2%)

Reoperation: 10 (18%)
Hoffman et al. 2016 (30) 51 78.7 (61–94) B1: 33
C: 18
Locking compression plate (LCP) Weight bearing delayed until callus formation. 25 (3–102) 90.2% (N/A) N/A Infection: 1 (2%)
Non-union: 3 (5.9%)
Fixation failure: 2 (4%)
Malalignment: 5 (10.9%)

Reoperation: 5 (9.8%)
Froberg et al. 2012 (29) 60 78 (49–97) B1
C
Locking compression plate (LCP) N/A 23 (0–121) 71,6% at 6 months N/A Infection: 4 (6.6%)
Stem loosening: 1 (1.6%)
Fixation failure: 3 (5%)

Reoperation: 8(13.3%)
Yeo et al. 2015 (31) 17 74 (57–92) B1 Locking compression plate (LCP) with cortical strut allograft Partial weight bearing for 6 weeks.

Full weight bearing after complete healing
28 (12–74) 100% at 5 months Harris Hip Score 86 (77–95) None
Platzer et al. 2011 (41) 22 79.2 (59–89) D Locking compression plate (LCP): 19

Modular tapered stem:4
Partial weight bearing for 6–8 weeks after plate fixation. N/A 86% at 6 months Harris Hip Score 78.4 Fixation failure: 4 (18%)

Non-union:1 (4.5%)

Reoperation:1 (4.5%)