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%) |