Official Journal of the Italian Society of Orthopaedics and Traumatology
Table 3 Cause of fracture, time of fracture, Vancouver classification, and treatment for all PFFs
Fracture type | Cause of fracture | Time of fracture | Vancouver classification | Treatment |
|---|---|---|---|---|
Intraoperatively (n = 10) | ||||
Medial cortex | Implant insertion | One cerclage cable | ||
Medial cortex | Implant insertion | One cerclage cable | ||
Calcar | Implant insertion | One cerclage cable | ||
Lateral cortex | Implant insertion | Two cerclage cables | ||
Lateral cortex | Implant insertion | Conservatively, no weight-bearing for 6 weeks | ||
Medial cortex | Broaching | One cerclage cable | ||
Greater trochanter | Retraction with Hohmann retractor | One cerclage cable | ||
Medial cortex | Implant insertion | One cerclage cable | ||
Medial cortex | Implant insertion | Straight stem, two cerclage cables | ||
Lateral cortex | Failed cerclage of intraoperatively detected fracture | Revision on day 31 | Vc B2 | Revision arthroplasty (monoblock revision stem, three cerclage cables) |
Postoperatively (n = 8) | ||||
Greater trochanter | Avulsion | 9d | Vc Ag | Conservatively |
Medial cortex | No history of fall | 6d | Vc B2 | Revision arthroplasty (straight stem, four cerclage cables) |
Medial cortex | No history of fall | 4d | Vc B2 | Revision arthroplasty (straight stem, three cerclage cables) |
Medial cortex | No history of fall | 14d | Vc B2 | Revision arthroplasty (straight stem, three cerclage cables) |
Medial cortex | Fell while walking | 24d | Vc B2 | Revision arthroplasty (Monoblock revision stem, three cerclage cables) |
Medial cortex | No history of fall | 14d | Vc B2 | Revision arthroplasty (straight stem, three cerclage cables) |
Greater trochanter | Avulsion | 5d | Vc Ag | Conservatively |
Lateral cortex | Fell while walking | 70d | Vc B2 | Revision arthroplasty (monoblock revision stem, two cerclage cables) |