What's New in Periprosthetic Femur Fractures?

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Abstract

[Indexed for MEDLINE] 5. Medicina (Kaunas). 2022 May 1;58(5):630. doi: 10.3390/medicina58050630. Acetabular Peri-Prosthetic Fractures-A Narrative Review. Beckers G(1), Djebara AE(1), Gauthier M(1)(2), Lubbeke A(1), Gamulin A(1), Zingg M(1), Bastian JD(2), Hannouche D(1). Author information: (1)Department of Orthopaedic Surgery and Traumatology, Geneva University Hospitals, 1205 Geneva, Switzerland. (2)Department of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital of Bern, 3010 Bern, Switzerland. Acetabular peri-prosthetic fractures are rare but their incidence is rising due to the increased prevalence of total hip arthroplasty, the increasing life expectancy and the growing functional demand of an ageing population, the incidence of primary total hip arthroplasty is increasing. They are either intra-operative or post-operative and have various aetiologies. Several factors such as implant stability, bone loss, remaining bone stock, fracture pattern, timing, age and co-morbidities of the patients must be considered for adequate treatment. To date, the literature on this subject has been sparse and no universally recognized treatment algorithm exists. Their rarity makes them a little-known entity and their surgical management represents a challenge for most orthopaedic surgeons. This review aims to present an update on epidemiology, the diagnostic work up, existing classification systems, surgical approaches and therapeutic options for acetabular peri-prosthetic fractures. DOI: 10.3390/medicina58050630 PMCID: PMC9143047