Treatment of proximal femur fractures associated with total hip arthroplasty*

https://doi.org/10.1016/S0883-5403(89)80063-4Get rights and content

Abstract

The authors reviewed seven cases of proximal femur fractures with ipsilateral total hip arthroplasty between April 1985 and July 1987. All patients had ORIF with Odgen plates and Parham bands. Early mobilization of the patients avoided prolonged bedrest with its inherent morbidity. The morbidity of a revision of the total hip arthroplasty was also avoided. There were no problems with healing of the fractures sites and no evidence of devascularization related to parham band utilization. All seven type A fractures went to clinical and radiographic union by 4 months and all seven were asymptomatic. The authors recommend the use of Ogden plates and Parham bands for type A fractures. Their clinical data suggest that this method is an effective treatment modality that produces a decrease in morbidity with satisfactory results.

References (12)

  • Ali-KhanMA et al.

    Fractures of the femur during total hip replacement and their management

    J Bone Joint Surg

    (1977)
  • BetheaJS et al.

    Proximal femoral fractures following total hip arthroplasty

    Clin Orthop

    (1982)
  • ClancyGJ et al.

    Fractures of the distal end of the femur below hip implants in elderly patients

    J Bone Joint Surg

    (1983)
  • JohansonJE et al.

    Fracture of the ipsilateral femur in patients with total hip replacement

    J Bone Joint Surg

    (1981)
  • McElfreshEC et al.

    Femoral and pelvic fractures after total hip arthroplasty

    J Bone Joint Surg

    (1974)
  • OgdenWS et al.

    Fractures beneath hip prosthesis: a special indication for Parham bands and plating

    Orthop Trans

    (1978)
There are more references available in the full text version of this article.

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*

The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

*

From the Orthopaedic Surgery Service, Eisenhower Army Medical Center, Fort Gordon, Georgia.

From the Department of Orthopaedic Surgery, Union Memorial Hospital, Baltimore, Maryland.

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