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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 12, 1617-1621.
doi: 10.1302/0301-620X.87B12.16338  
Copyright © 2005 by British Editorial Society of Bone and Joint Surgery
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The use of uncemented extensively porous-coated femoral components in the management of Vancouver B2 and B3 periprosthetic femoral fractures

K. O’Shea, AFRCSI, Senior Specialist Registrar in Orthopaedics1; J. F. Quinlan, MCh, AFRCSI, Senior Specialist Registrar in Orthopaedics2; S. Kutty, FRCSI, Senior Specialist Registrar in Orthopaedics3; D. Mulcahy, FRCSI, Consultant Orthopaedic Surgeon4; and O. H. Brady, FRCSI, Consultant Orthopaedic Surgeon5

1 "Maryville", Taylors Hill, Galway, Eire.
2 Our Lady’s Hospital for Sick Children, Crumlin, Dublin 12, Eire.
3 Adelaide and Meath Incorporating the National Childrens Hospital, Tallaght, Dublin 24, Eire.
4 Cork University Hospital, Cork, Eire.
5 Our Lady’s Hospital, Navan, County Meath, Eire.

Correspondence should be sent to Mr K. O’Shea; e-mail: keloshea{at}hotmail.com

We assessed the outcome of patients with Vancouver type B2 and B3 periprosthetic fractures treated with femoral revision using an uncemented extensively porous-coated implant. A retrospective clinical and radiographic assessment of 22 patients with a mean follow-up of 33.7 months was performed. The mean time from the index procedure to fracture was 10.8 years. There were 17 patients with a satisfactory result. Complications in four patients included subsidence in two, deep sepsis in one, and delayed union in one. Concomitant acetabular revision was required in 19 patients. Uncemented extensively porous-coated femoral stems incorporate distally allowing stable fixation. We found good early survival rates and a low incidence of nonunion using this implant.




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Home page
 J Bone Joint Surg BrHome page
F. Rayan, M. Dodd, and F. S. Haddad
European validation of the Vancouver classification of periprosthetic proximal femoral fractures
J Bone Joint Surg Br, December 1, 2008; 90-B(12): 1576 - 1579.
[Abstract] [Full Text] [PDF]

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Re: The use of uncemented extensively porous-coated femoral components.
S Kamath, et al.
J Bone Joint Surg Br Online, 9 Jan 2006 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General