New fracture pattern focusing on implant fracture for periprosthetic femoral fractures

• DOI: 10.1007/s00264-015-2830-7
• Publication Date: 2015-06-23T06:52:58Z
• Authors: Jie-Feng Huang; Jian-Jian Shen; Jun-Jie Chen; Yang Zheng; Wen-Xi Du; Fu-Cun Liu; Pei-Jian Tong
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Databases, Factual; Arthroplasty, Replacement, Hip; Humans; Femur; Hip Prosthesis; Periprosthetic Fractures; Femoral Fractures; Prosthesis Failure; Retrospective Studies

The Vancouver Classification System (VCS) for assessing periprosthetic femoral fractures has become universally accepted. The Unified Classification System (UCS) has expanded upon and updated the VCS and applied treatment principles to all periprosthetic fractures. However, periprosthetic femoral fractures accompanied by stem fracture after hip arthroplasty were not classifiable under the original VCS or the UCS.Our new fracture pattern is based on the periprosthetic femoral fracture as well as stem fracture after hip arthroplasty, and its treatment is dependent upon the stability of the proximal portion of the fractured femoral prosthesis.We believe that our new fracture pattern, a supplement to the VCS and UCS, is useful in the establishment of a therapeutic strategy for periprosthetic femoral fractures.