Therapeutic strategies for periprosthetic femoral fractures based on three classification systems

Journal of Joint Surgery and Research Pub Date : 2025-02-21 DOI:10.1016/j.jjoisr.2025.02.002

Tomonori Baba , Taiji Watari , Yasuhiro Homma , Kazuo Kaneko , Muneaki Ishijima

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Abstract

Purpose

The standardization of treatment strategies for periprosthetic femoral fractures is a critical objective for orthopedic surgeons. This review outlines detailed therapeutic approaches based on three classification systems: the Baba, AO/OTA, and Vancouver classifications.

Methods

This review examined implant stability assessment, internal fixation techniques, and revision strategies for hip function restoration in periprosthetic femoral fractures.

Results

The Baba classification objectively determines implant stability, guiding treatment selection. The AO/OTA classification assists in identifying the most appropriate internal fixation technique. The Vancouver classification informs the choice of reconstruction methods for revision surgery.

Conclusions

Management of periprosthetic femoral fractures necessitates specialized expertise in joint reconstruction while adhering to the fundamental principles of osteosynthesis to promote bony union.

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基于三种分类系统的股骨假体周围骨折治疗策略

目的规范股骨假体周围骨折的治疗策略是骨科医生的重要目标。本文概述了基于三种分类系统的详细治疗方法：Baba、AO/OTA和Vancouver分类。方法本综述综述了假体稳定性评估、内固定技术和股骨假体周围骨折髋功能恢复的翻修策略。结果Baba分类客观地决定种植体的稳定性，指导治疗方案的选择。AO/OTA分类有助于确定最合适的内固定技术。温哥华分类提示翻修手术重建方法的选择。结论股骨假体周围骨折的治疗需要专业的关节重建技术，同时坚持植骨术的基本原则，促进骨愈合。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of Joint Surgery and Research

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