Intraoperative periprosthetic femoral fractures at total hip arthroplasty. Review of classifications and treatment techniques

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Abstract

The review covers the problem of intraoperative periprosthetic femoral fractures at total hip arthroplasty including the causes, classification and treatment techniques. This complication may occur at any step of the intervention, may differ by localization and pattern. All these will determine the preferable surgical treatment technique.

About the authors

E. V. Polevoy

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics

Email: poleegorl@yandex.ru

trauma and orthopaedic surgeon, postgraduate, arthroplasty department

Russian Federation, Moscow

N. V. Zagorodniy

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics

Author for correspondence.
Email: cito@cito-priorov.ru

associate member of Russian Academy of Sciences, Dr. Sci. (Med.), professor, head of arthroplasty department

Russian Federation, Moscow

S. V. Kagramanov

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics

Email: cito@cito-priorov.ru

associate member of Russian Academy of Sciences, Dr. Sci. (Med.), professor, head of arthroplasty department

Russian Federation, Moscow

G. A. Chragyan

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics

Email: cito@cito-priorov.ru

Cand. of Sci. (Med.), trauma and orthopaedic surgeon, arthroplasty department

Russian Federation, Moscow

O. A. Aleksanyan

N.N. Priorov National Medical Research Center of Traumatology and Orthopaedics

Email: cito@cito-priorov.ru

trauma and orthopaedic surgeon, postgaraduate, arthroplasty department

Russian Federation, Moscow

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Supplementary files

Supplementary Files
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1. JATS XML
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2. Fig. 1. Stress strain on the calcar zone during rasping (https://icjr.net/ articles/is-it-time-to-rethink-using-the-mallet-in-tha).

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3. Fig. 2. Surgical impactor. C. DeCook. Is It Time to Rethink Using the Mallet in THA? (https://icjr.net/articles/is-it-time-to-rethink- using-the-mallet-in-tha).

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4. Fig. 3. Intraoperative periprosthetic greater trochanter fracture ТуреА3. Osteosynthesis with pins by Weber. The greater trochanter is stable.

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5. Fig. 4. Trochanteric plate («De Puy») for the greater trochanter fractures and avulsions.

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6. Fig. 5. Intraoperative periprosthetic fracture A3. Greater trochanter avulsion. Fixation with the trochanteric plate.

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7. Fig. 6. Intraoperative periprosthetic fracture B3. Application of cerclage wire in combination with cortical allograft.

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8. Fig. 7. Intraoperative fracture C2. Fixation by cerclage wire in combination with cortical allograft.

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9. Рис. 8. Интраоперационный перипротезный перелом типа С3. Фиксация серкляжной проволокой и металлоостеосинтез пластиной (https://www.orthobullets.com/recon/5013/thaperiprosthetic-fracture).

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