The Journal of Arthroplasty
Volume 26, Issue 4 , Pages 665.e25-665.e28, June 2011

Revision Total Hip Arthroplasty for a Vancouver Type B3 Periprosthetic Fracture Using an Allograft-Cemented Stem Composite by the Telescoping Technique

Received 8 February 2010; accepted 18 May 2010. published online 20 July 2010.

Abstract 

We describe a case of successful revision total hip arthroplasty for a Vancouver type B3 periprosthetic femoral fracture with extensive bone stock deficiency and osteoporotic diaphyseal bone. The femur was reconstructed with an allograft-cemented stem composite using a telescoping technique and a drainage hole for surplus cement. This procedure facilitated stable stem fixation to the host femur without cement interference and bony fusion between the allograft and host bone, as revealed by bone scintigraphy. This technique provides a surgical option for a severe periprosthetic femoral fracture in which the femoral diaphyseal bone is too osteoporotic to support the fixation of an allograft-cementless stem composite.

Keywords: revision total hip arthroplasty, vancouver type B3, femoral allograft, allograft-stem composite

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 No benefits or funds were received in support of the study.

PII: S0883-5403(10)00326-8

doi:10.1016/j.arth.2010.05.012

The Journal of Arthroplasty
Volume 26, Issue 4 , Pages 665.e25-665.e28, June 2011

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