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New fracture pattern focusing on implant fracture for periprosthetic femoral fractures

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Abstract

Purpose

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.

Results

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.

Conclusion

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.

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Acknowledgments

The authors thank the prosthetic manufacturers (Zimmer, Stryker, and DePuy) in Eastern China for their assistance with retrieving the patients’ information from their databases.

Conflict of interest

None.

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Authors and Affiliations

  1. Department of Orthopedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, 54 Youdian Road, Shangcheng District, Hangzhou, 310006, China

    Jie-Feng Huang, Jun-Jie Chen, Yang Zheng, Wen-Xi Du, Fu-Cun Liu & Pei-Jian Tong

  2. Department of Orthopaedics, Affiliated Cixi Hospital of Wenzhou Medical College, Cixi, China

    Jian-Jian Shen

Authors
  1. Jie-Feng Huang
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  2. Jian-Jian Shen
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  3. Jun-Jie Chen
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  4. Yang Zheng
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  5. Wen-Xi Du
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  6. Fu-Cun Liu
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  7. Pei-Jian Tong
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Corresponding author

Correspondence to Pei-Jian Tong.

Additional information

Jie-Feng Huang and Jian-Jian Shen are co-first authors

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Huang, JF., Shen, JJ., Chen, JJ. et al. New fracture pattern focusing on implant fracture for periprosthetic femoral fractures. International Orthopaedics (SICOT) 39, 1765–1769 (2015). https://doi.org/10.1007/s00264-015-2830-7

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  • DOI: https://doi.org/10.1007/s00264-015-2830-7

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