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A New Technique in Revision Hip Arthroplasty for Vancouver B Periprosthetic Fractures

Khan, Riaz J.K. FRACS*,†,‡,§; McGonagle, Lorcan FRCS (Tr&Orth)*; Wallis, Andrew R. MBBS; Sidhu, Amanpreet S. MBBS; Fick, Daniel P. FRACS*,†; Nivbrant, Bo FRACS†,‡

doi: 10.1097/BTO.0000000000000096
Special Technical Articles

We describe a new revision technique for Vancouver B periprosthetic hip fractures that leaves the original acetabular components in situ and causes minimal damage to the hip capsule. Twenty-eight patients, average age 79, with Vancouver B periprosthetic fracture had femoral component revision using a modified trochanteric osteotomy with a minimal superior hip capsulotomy. A modular uncemented stem was used with or without cortical strut allograft. The acetabular component was not revised. Fractures occurred in 19 cemented implants and 9 uncemented implants. There were no dislocations. Seventeen patients were available for follow-up at 24 months (range, 3 to 60 mo), average Oxford hip score was 32.2; and Harris hip score 69.7. This new technique has shown good results. We believe that the absence of dislocation in this series is largely attributable to minimal capsular dissection.

*Hollywood Private Hospital

Sir Charles Gairdner Hospital

School of Surgery, University of Western Australia, Perth

§School of Medicine, University of Notre Dame, Australia, Fremantle, WA, Australia

The authors declare that they have nothing to disclose.

Address correspondence and reprint requests to Lorcan McGonagle, FRCS (Tr&Orth), 6 Luscombe Lane, Toronto, Ontario, M4Y 3B5, Canada. E-mail:

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