{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T05:04:00Z","timestamp":1740027840639,"version":"3.37.3"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T00:00:00Z","timestamp":1739836800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"Universit\u00e4tsklinikum Hamburg-Eppendorf (UKE)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Orthop\u00e4die"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n          <jats:sec>\n            <jats:title>Hintergrund<\/jats:title>\n            <jats:p>Durch den demographischen Wandel ist eine weitere Zunahme von endoprothetischen Versorgungen anzunehmen. Entsprechend ist, wie bereits in den letzten Jahren zu beobachten, mit einem weiteren Anstieg periprothetischer Frakturen zu rechnen. Die periprothetische Fraktur ist mittlerweile der dritth\u00e4ufigste Grund f\u00fcr eine Revisionsoperation nach Implantation einer H\u00fcfttotalendoprothese.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ziel der Arbeit<\/jats:title>\n            <jats:p>Unter Ber\u00fccksichtigung der bekannten Risikofaktoren f\u00fcr periprothetische Femurfrakturen (PPF) werden die Versorgungsstrategien der periprothetischen Frakturbehandlung auf Grundlage der aktuellen Erkenntnisse evaluiert, um Empfehlungen f\u00fcr die Praxis aussprechen zu k\u00f6nnen.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Material und Methoden<\/jats:title>\n            <jats:p>Narratives Review.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Die Literatur ist sehr heterogen und f\u00fcr viele Aspekte fehlt die Evidenz. Basis vieler Behandlungsempfehlungen bilden nicht randomisierte Studien mit geringer Patientenanzahl. Die Mortalit\u00e4t nach PPF ist unabh\u00e4ngig von der gew\u00e4hlten Therapie hoch. Das Alter und die Knochenqualit\u00e4t spielen eine Rolle bei der Versorgungstrategie und bei den heterogenen Ergebnissen. F\u00fcr die Schaftverankerung bei Wechseloperationen nach proximaler PPF werden zementierte und zementfreie Sch\u00e4fte in der Literatur gleicherma\u00dfen verwendet. Signifikante Ergebnisunterschiede zeigen sich nicht. Ein propagierter Vorteil von zementfreien Sch\u00e4ften in modularer Ausfertigung f\u00fcr diese Versorgung wird von der Literatur aktuell nicht gest\u00fctzt.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Schlussfolgerungen<\/jats:title>\n            <jats:p>Unter Ber\u00fccksichtigung der Umfeldfaktoren und Komorbidit\u00e4ten empfiehlt sich ein individueller Ansatz bei der Versorgung PPF. Beim geriatrischen Patienten sollte zur Vermeidung von Komplikationen postoperativ eine Vollbelastung der unteren Extremit\u00e4t angestrebt werden.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00132-025-04613-y","type":"journal-article","created":{"date-parts":[[2025,2,18]],"date-time":"2025-02-18T18:15:00Z","timestamp":1739902500000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Operative Versorgungsstrategien bei periprothetischen Femurfrakturen Typ Vancouver\u00a0B","Surgical treatment strategies for periprosthetic femoral fractures of type Vancouver B"],"prefix":"10.1007","author":[{"given":"Christian","family":"Ries","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Gerhardt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Helwig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Holger","family":"B\u00e4this","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Kirschner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Rolvien","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank Timo","family":"Beil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,2,18]]},"reference":[{"issue":"9597","key":"4613_CR1","doi-asserted-by":"publisher","first-page":"1508","DOI":"10.1016\/S0140-6736(07)60457-7","volume":"370","author":"ID Learmonth","year":"2007","unstructured":"Learmonth\u00a0ID, Young\u00a0C, Rorabeck\u00a0C (2007) The operation of the century: total hip replacement. 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