Management of type B2 and B3 post-operative proximal periprosthetic femoral fractures, Oghara experience.
Keywords:
Periprosthetic femoral fracture, Long stem hip prosthesis, Vancouver classification, osteolysisAbstract
Objective: To report the outcome of treatment of Types B2 and B3 Post- operative Periprosthetic proximal femoral fracture (PPFF) in four patients treated in Delta State University Teaching Hospital, Oghara, Delta State, using Vancouver classification of Duncan and Masri.
Methodology: A retrospective study of four cases managed in this hospital. Information retrieved from case notes were sex, age, duration of prosthesis, treatment given, complications and outcome of treatment.
Result: A total of 4 patients were reviewed in the study, 2 males and 2 females with a M: F of 1: 1. Duration of the implant before treatment was 5-12 years (mean of 8.3years). Age range was 60-83years (mean of 67.5 years). Two patients had Type B2 and two had Type B3. Average intraoperative blood loss was 1 litre. Duration of surgery was 3-4 hours. Duration of hospital stay was between 3 weeks and 5 months. The complications seen were primary haemorrhage, wound infection, hip dislocation and pulmonary embolism. The outcome was good for 3 patients and fair in 1, using Harris Hip Score.
Conclusion: Vancouver classification of Duncan and Masri is effective in the treatment of PPFF.
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