Acta Chir Orthop Traumatol Cech. 2016; 83(6):381-387 | DOI: 10.55095/achot2016/061

Long-Term Function following Periprosthetic FracturesOriginal papers

J. ZWINGMANN1,*, M. KRIEG2, F. THIELEMANN2, N. SÜDKAMP1, P. HELWIG1
1 Department of Orthopedic Surgery and Traumatology, Freiburg University Hospital, Germany
2 Schwarzwald-Baar Hospital, Department of Trauma and Reconstructive surgery, Villingen-Schwenningen, Germany

PURPOSE OF THE STUDY:
Clinical results of long-term follow-up after traumatic periprosthetic femur fractures and different therapies (ORIF vs. revision arthroplasty).

MATERIAL AND METHODS:
The Visual Analog Scale (VAS), Harris-Hip-Score (HHS), Oxford-Hip-Score (OHS), Oxford-Knee-Score (OKS), Knee-Society-Score (KSS), SF-36 Questionnaire and Funktionsfragebogen Hannover (FFH) were used to evaluate outcome and functionality. Radiological examinations were performed and the Vancouver (THA) and Lewis and Rorabeck (TKA) classifications used.

RESULTS:
70 patients suffered a periprosthetic hip fracture (29× revision prosthesis, 41x ORIF), 23 patients underwent an ORIF due to periprosthetic fracture of a TKA (total mean age 75.2 years).
47 patients (follow-up rate 51%) were examined 40 months after surgery (mean age 72 years) (THA: 16× revision, 23× ORIF, TKA: 8× ORIF).
The VAS revealed significant less pain in the group that had undergone revision hip arthroplasty than in the ORIF group: 3.9±1 vs. 5.1±1.7 (p<0.05), respectively. 5/16 patients with revision arthroplasty had excellent or good results in the HSS compared to 3/23 patients after ORIF. The OHS yielded excellent or good results in 12/16 patients after revision arthroplasty vs. 10/23 after ORIF. The VAS after ORIF in patients who suffered periprosthetic knee fractures was 4.9±2.1. 3/8 patients achieved excellent or good results according to the OKS.

CONCLUSION:
Every functional score (HSS, OHS, FFH, SF-36) of those patients who had undergone revision arthroplasty was slightly higher and their VAS significantly lower than the scores of the patients after ORIF.

Keywords: periprosthetic fractures, trauma, open reduction and internal fixation, revision arthroplasty

Published: December 1, 2016  Show citation

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ZWINGMANN J, KRIEG M, THIELEMANN F, SÜDKAMP N, HELWIG P. Long-Term Function following Periprosthetic Fractures. Acta Chir Orthop Traumatol Cech. 2016;83(6):381-387. doi: 10.55095/achot2016/061. PubMed PMID: 28026733.
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