Complications after Primary Total Hip Arthroplasty by Matthew P. Abdel & Craig J. Della Valle

Author:Matthew P. Abdel & Craig J. Della Valle
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Type B3 Fractures

Severe proximal femoral bone loss makes it even more challenging to achieve good femoral component and fracture fixation as is seen in a Vancouver B3 periprosthetic fracture (Fig. 11.4). Options for treatment of such challenging fractures include long cylindrical or fluted stems, with or without cortical strut grafting, allograft-prosthetic composite, or proximal femoral replacement. The optimal method of reconstruction depends on the patient’s physiologic demands, fracture extent and location, and degree and severity of bone loss.

Fig. 11.4(a) Vancouver B3 fracture around a temporary hip spacer . (b) Patient underwent a revision with modular fluted tapered stem that (c) later subsided and (d) was revised to a larger diameter modular fluted tapered stem

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