Multidisciplinary Approach to a Transverse Periprosthetic Femur Fracture in a Short-Statured Patient: A Case Report. uri icon

Overview

abstract

  • CASE: A 43-year-old woman with VACTERL sustained a Vancouver B1 periprosthetic femur fracture (PFF) following right revision total hip arthroplasty with a cemented femoral component. She underwent open reduction and internal fixation (ORIF) with dual plate fixation, and later received abaloparatide and autologous bone grafting with iliac crest aspirate at 10 months post-ORIF. The fracture achieved radiographic union 2 years post-ORIF. CONCLUSION: PFFs in patients with metabolic bone disease may require prolonged healing. Use of dual-implant fixation and a multidisciplinary approach to treat underlying metabolic bone disorders can help overcome delayed healing in these cases.

publication date

  • March 7, 2025

Research

keywords

  • Arthroplasty, Replacement, Hip
  • Femoral Fractures
  • Fracture Fixation, Internal
  • Periprosthetic Fractures

Identity

Scopus Document Identifier

  • 105000000534

Digital Object Identifier (DOI)

  • 10.2106/JBJS.CC.24.00523

PubMed ID

  • 40053675

Additional Document Info

volume

  • 15

issue

  • 1