• Int Orthop · Sep 2015

    New fracture pattern focusing on implant fracture for periprosthetic femoral fractures.

    • Jie-Feng Huang, Jian-Jian Shen, Jun-Jie Chen, Yang Zheng, Wen-Xi Du, Fu-Cun Liu, and Pei-Jian Tong.
    • Department of Orthopedics, The First Affiliated Hospital of Zhejiang Chinese Medical University, 54 Youdian Road, Shangcheng District, Hangzhou, 310006, China, 40983285@qq.com.
    • Int Orthop. 2015 Sep 1; 39 (9): 1765-9.

    PurposeThe 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.ResultsOur 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.ConclusionWe 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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