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Cement-in-cement versus uncemented modular stem revision for Vancouver B2 periprosthetic fractures
Ian W Kennedy1, Alex Hrycaiczuk2, Nigel Y B Ng1
1Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow, G51 4TF, UK.
Background:
To compare outcomes of revision to a long uncemented stem with cement-in-cement revision for Vancouver B2 periprosthetic fracture (PPF).
Methods:
Patients undergoing surgery for a Vancouver B2 PPF in a cemented stem from 2008 to 2018 were identified using our prospectively collated database.
Results:
We identified 43 uncemented and 29 cement-in-cement revisions. Cement-in-cement revision had a shorter operative time, reduction in certain complications, no increased rate of non-union, lower degree of stem subsidence and no difference in re-revision rate.
Conclusion:
With appropriate patient selection, both cement-in-cement and long uncemented stem revision represent appropriate treatment options for Vancouver B2 fractures.
