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Updated: Jun 23, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Vancouver type B3 periprosthetic fractures: evaluation and treatment
Corey J Richards1, Donald S Garbuz, Bassam A Masri
1Department of Orthopaedics, University of British Columbia, Vancouver, British Columbia, Canada.
Abstract:
Periprosthetic fracture with preexisting severe loss of bone stock is a challenging condition to treat. Available surgical options can be divided into three categories: complex reconstruction of the deficient proximal femur with secure distal fixation; segmental substitution of the proximal femur with a megaprosthesis or allograft/stem composite; and distally fixed replacement with a modular stem, which acts as a scaffold around which the remaining deficient proximal bone can be assembled, to unite and possibly reconstitute.