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Updated: Apr 5, 2026
Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
Treatment of Vancouver type B2 periprosthetic femoral fractures
Carl Haasper1, Mohammad Ali Enayatollahi2, Thorsten Gehrke3
1HELIOS ENDO-Klinik, Holstenstrasse 2, 22767, Hamburg, Germany. carl.haasper@helios-kliniken.de.
Purpose:
Stem loosening in both cemented and uncemented total hip arthroplasty is the hallmark of the Vancouver type B2 classification of periprosthetic hip fractures.
Methods:
We discuss the technique we use at our institution for treating these fractures.
Results:
Periprosthetic femoral-shaft fractures are associated with a relatively high mortality rate, approximating that of patients with hip fractures. Outcomes are directly associated with early mobilisation and construct stability.
Conclusions:
We recommend performing the procedure only when the surgeon is proficient in revision hip surgery and trauma care. A well-selected portfolio of different stem designs and an array of osteosynthesis devices should be available, as well.
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