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Background <p>Periprosthetic acetabular fractures primarily pose a&#xa0;problem with cementless implantation techniques and occur in approximately 3.6% of primary and up to 20.9% of revision cases. When a&#xa0;fracture situation exists that affects the integrity of the pelvic columns, stabilization using plate osteosynthesis is necessary, in addition to the implantation of a&#xa0;revision cup.</p> <p>Periprosthetic femoral fractures also primarily occur with cementless techniques and account for 0.4–6.8% of revisions after primary total hip arthroplasty. In addition to the cementless technique, the most common risk factors for the development of PFF are a&#xa0;minimally invasive, ventral approach, female gender, poor bone quality, age &gt; 75&#xa0;years, and revision surgery.</p> Treatment <p>Depending on the degree of risk to the stability of the implant, conservative or surgical treatment can be carried out using osteosynthesis, stem replacement or a&#xa0;combination of both procedures.</p>

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Die periprothetische Fraktur beim Hüftgelenkersatz – Risikofaktoren und Therapie

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年5月21日

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  • Matthias Luger,
  • Tobias Gotterbarm,
  • Clemens Schopper

摘要

Background

Periprosthetic acetabular fractures primarily pose a problem with cementless implantation techniques and occur in approximately 3.6% of primary and up to 20.9% of revision cases. When a fracture situation exists that affects the integrity of the pelvic columns, stabilization using plate osteosynthesis is necessary, in addition to the implantation of a revision cup.

Periprosthetic femoral fractures also primarily occur with cementless techniques and account for 0.4–6.8% of revisions after primary total hip arthroplasty. In addition to the cementless technique, the most common risk factors for the development of PFF are a minimally invasive, ventral approach, female gender, poor bone quality, age > 75 years, and revision surgery.

Treatment

Depending on the degree of risk to the stability of the implant, conservative or surgical treatment can be carried out using osteosynthesis, stem replacement or a combination of both procedures.