{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T21:58:47Z","timestamp":1771019927904,"version":"3.50.1"},"reference-count":35,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T00:00:00Z","timestamp":1744416000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T00:00:00Z","timestamp":1744416000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Fractures through an arthrodesed hip are rare and challenging. The aim of the study is (1) to explore whether 3D-planned percutaneous screw fixation of fractures in hip arthrodesis is a viable minimally invasive surgical option for geriatric patients and (2) to standardize surgical treatment by providing a comprehensive overview of the literature and propose a treatment algorithm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We presented a case series of patients with an acute fracture in a previous hip arthrodesis treated in a level 1 trauma centre in 2024. Furthermore, we conducted a systematic review on fractures in hip arthrodesis from 1970 to 2023.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We presented three cases treated for a fracture in an arthrodesed hip. Two patients with a proximal\/medial fracture to the acetabulum were operated with 3D-planned percutaneous cannulated screws, and one patient with an intertrochanteric fracture was operated with a DHS system. The systematic review resulted in an overview of 16 case series on fractures in hip arthrodesis treated with various surgical techniques, each with its pros and cons; cannulated screws, DHS system, intramedullary nailing and plate osteosynthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Acute fractures in arthrodesed hips in fragile geriatric patients can be treated minimally invasively with 3D-planned percutaneous screw fixation. This technique is most suitable for femoral neck fracture types. Alternative surgical techniques include DHS, intramedullary nailing, plate osteosynthesis or conversion to total hip arthroplasty, for which a treatment algorithm is provided.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00590-025-04283-8","type":"journal-article","created":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T02:18:22Z","timestamp":1744424302000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["3D virtual surgical planning of fractures in hip arthrodesis: a systematic review, case series and recommendations for treatment"],"prefix":"10.1007","volume":"35","author":[{"given":"Raul G.","family":"Plomp","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaj","family":"Ten Duis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne M. L.","family":"Meesters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank F. A.","family":"IJpma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,12]]},"reference":[{"key":"4283_CR1","doi-asserted-by":"publisher","DOI":"10.3928\/0147-7447-19960401-06","author":"T Barnhardt","year":"1996","unstructured":"Barnhardt T, Stiehl JB (1996) Hip fusion in young adults. Orthopedics. https:\/\/doi.org\/10.3928\/0147-7447-19960401-06","journal-title":"Orthopedics"},{"key":"4283_CR2","doi-asserted-by":"publisher","first-page":"249","DOI":"10.5435\/00124635-200207000-00003","volume":"10","author":"PE Beaul\u00e9","year":"2002","unstructured":"Beaul\u00e9 PE, Matta JM, Mast JW (2002) Hip arthrodesis: current indications and techniques. J Am Acad Orthop Surg 10:249\u2013258","journal-title":"J Am Acad Orthop Surg"},{"key":"4283_CR3","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(91)90051-F","author":"AB Mullaji","year":"1991","unstructured":"Mullaji AB, Todd RC (1991) Late ipsilateral trochanteric fractures in patients with long-standing fusion of the hip. Injury. https:\/\/doi.org\/10.1016\/0020-1383(91)90051-F","journal-title":"Injury"},{"key":"4283_CR4","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466060-00005","author":"PD Sponseller","year":"1984","unstructured":"Sponseller PD, McBeath AA, Perpich M (1984) Hip arthrodesis in young patients: a long-term follow-up study. J Bone Joint Surg Ser A. https:\/\/doi.org\/10.2106\/00004623-198466060-00005","journal-title":"J Bone Joint Surg Ser A"},{"key":"4283_CR5","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1097\/00005131-200402000-00011","volume":"18","author":"AP Wulke","year":"2004","unstructured":"Wulke AP, Mader K, Pennig D (2004) Femoral neck fracture in an arthrodesed hip treated by a supracondylar intramedullary locked nail. J Orthop Trauma 18:116\u2013118","journal-title":"J Orthop Trauma"},{"issue":"4","key":"4283_CR6","doi-asserted-by":"publisher","first-page":"565","DOI":"10.1177\/112070001002000426","volume":"20","author":"L Font-Vizcarra","year":"2010","unstructured":"Font-Vizcarra L, Carre\u00f1o AM, Prat S et al (2010) Less invasive fixation of an interthrocanteric fracture in an ankylosed hip with cannulated screws: a case report. Hip Int 20(4):565\u2013567. https:\/\/doi.org\/10.1177\/112070001002000426","journal-title":"Hip Int"},{"key":"4283_CR7","unstructured":"Pato T, Malheiro FS, Estrela D, Brenha J (2019) Intertrochanteric fracture in a long-term ankylosed hip: a case report. J Orthop Case Rep 10"},{"key":"4283_CR8","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/278156","author":"D Ishimaru","year":"2012","unstructured":"Ishimaru D, Nozawa S, Maeda M, Shimizu K (2012) Intertrochanteric fracture of the ankylosed hip joint treated by a gamma nail: a case report. Case Rep Orthop. https:\/\/doi.org\/10.1155\/2012\/278156","journal-title":"Case Rep Orthop"},{"key":"4283_CR9","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcr.2015.10.005","author":"C Fang","year":"2015","unstructured":"Fang C, Fang B, Wong TM et al (2015) Fixing a fractured arthrodesed hip with rapid prototype templating and minimal invasive plate osteosynthesis. Trauma Case Rep. https:\/\/doi.org\/10.1016\/j.tcr.2015.10.005","journal-title":"Trauma Case Rep"},{"key":"4283_CR10","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/5246080","author":"S Asakawa","year":"2017","unstructured":"Asakawa S, Mammoto T, Hirano A (2017) Proximal femoral fracture in Hip arthrodesis treated with double reconstruction plates. Case Rep Orthop. https:\/\/doi.org\/10.1155\/2017\/5246080","journal-title":"Case Rep Orthop"},{"key":"4283_CR11","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.1275","author":"B Deleanu","year":"2018","unstructured":"Deleanu B, Prejbeanu R, Vermesan D et al (2018) Trochanteric fracture following hip arthrodesis: case presentation. Clin Case Rep. https:\/\/doi.org\/10.1002\/ccr3.1275","journal-title":"Clin Case Rep"},{"key":"4283_CR12","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200402000-00011","author":"AP Wulke","year":"2004","unstructured":"Wulke AP, Mader K, Pennig D (2004) Femoral neck fracture in an arthrodesed hip treated by a supracondylar intramedullary locked nail. J Orthop Trauma. https:\/\/doi.org\/10.1097\/00005131-200402000-00011","journal-title":"J Orthop Trauma"},{"key":"4283_CR13","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.89B3.18591","author":"A Manzotti","year":"2007","unstructured":"Manzotti A, Confalonieri N, Pullen C (2007) Intertrochanteric fracture of an arthrodesed hip. J Bone Joint Surg Ser B. https:\/\/doi.org\/10.1302\/0301-620X.89B3.18591","journal-title":"J Bone Joint Surg Ser B"},{"key":"4283_CR14","doi-asserted-by":"publisher","DOI":"10.12659\/AJCR.883909","author":"FM Darwish","year":"2013","unstructured":"Darwish FM, Haddad W (2013) Intertrochanteric fracture under an arthrodesed hip. Am J Case Rep. https:\/\/doi.org\/10.12659\/AJCR.883909","journal-title":"Am J Case Rep"},{"key":"4283_CR15","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOSGlobal-D-17-00065","author":"KJ Nelson","year":"2019","unstructured":"Nelson KJ, Laughlin MD, Berry-Cab\u00e1n CS (2019) Sliding hip screw for fixation of fracture through a previously arthrodesed hip. J Am Acad Orthop Surg Glob Res Rev. https:\/\/doi.org\/10.5435\/JAAOSGlobal-D-17-00065","journal-title":"J Am Acad Orthop Surg Glob Res Rev"},{"key":"4283_CR16","doi-asserted-by":"publisher","DOI":"10.23750\/abm.v91i4-S.9657","author":"F Pogliacomi","year":"2020","unstructured":"Pogliacomi F, Tacci F, Calderazzi F et al (2020) Subtrocantheric nonunion following fracture of an arthrodesed hip: a case report. Acta Biomed. https:\/\/doi.org\/10.23750\/abm.v91i4-S.9657","journal-title":"Acta Biomed"},{"key":"4283_CR17","doi-asserted-by":"publisher","DOI":"10.23750\/abm.v92iS1.9201","author":"C Cardile","year":"2021","unstructured":"Cardile C, Cazzaniga C, Manzini B et al (2021) Intertrochanteric hip fracture in an arthrodesed hip treated by a LCP condylar plate. Acta Biomed. https:\/\/doi.org\/10.23750\/abm.v92iS1.9201","journal-title":"Acta Biomed"},{"key":"4283_CR18","doi-asserted-by":"publisher","first-page":"966","DOI":"10.3390\/jpm11100966","volume":"11","author":"AML Meesters","year":"2021","unstructured":"Meesters AML, Trouwborst NM, de Vries JPPM et al (2021) Does 3D-assisted acetabular fracture surgery improve surgical outcome and physical functioning? A systematic review. J Pers Med 11:966","journal-title":"J Pers Med"},{"key":"4283_CR19","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/j.tcr.2015.10.005","volume":"1","author":"C Fang","year":"2015","unstructured":"Fang C, Fang B, Wong TM et al (2015) Fixing a fractured arthrodesed hip with rapid prototype templating and minimal invasive plate osteosynthesis. Trauma Case Rep 1:79\u201383. https:\/\/doi.org\/10.1016\/j.tcr.2015.10.005","journal-title":"Trauma Case Rep"},{"key":"4283_CR20","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001708.pub2","author":"MJ Parker","year":"2006","unstructured":"Parker MJ, Gurusamy KS (2006) Internal fixation versus arthroplasty for intracapsular proximal femoral fractures in adults. Cochrane Database Syst Rev. https:\/\/doi.org\/10.1002\/14651858.CD001708.pub2","journal-title":"Cochrane Database Syst Rev"},{"key":"4283_CR21","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-019-50887-6","author":"N Assink","year":"2019","unstructured":"Assink N, Kraeima J, Slump CH et al (2019) Quantitative 3D measurements of tibial plateau fractures. Sci Rep. https:\/\/doi.org\/10.1038\/s41598-019-50887-6","journal-title":"Sci Rep"},{"key":"4283_CR22","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13091629","author":"JF Leemhuis","year":"2023","unstructured":"Leemhuis JF, Assink N, Reininga IHF et al (2023) Both-column acetabular fractures: does surgical approach vary based on using virtual 3D reconstructions? Diagnostics. https:\/\/doi.org\/10.3390\/diagnostics13091629","journal-title":"Diagnostics"},{"key":"4283_CR23","doi-asserted-by":"publisher","first-page":"930","DOI":"10.3390\/jpm11090930","volume":"11","author":"H Banierink","year":"2021","unstructured":"Banierink H, Meesters AML, Ten Duis K et al (2021) Does 3d-assisted operative treatment of pelvic ring injuries improve patient outcome? A systematic review of the literature. J Pers Med 11:930","journal-title":"J Pers Med"},{"key":"4283_CR24","doi-asserted-by":"publisher","DOI":"10.1016\/j.rboe.2017.11.016","author":"P Devkota","year":"2019","unstructured":"Devkota P, Ahmad S, Pande KC (2019) Intertrochanteric fracture of the femur in an ankylosed hip: a case report. Rev Bras Ortop (Sao Paulo). https:\/\/doi.org\/10.1016\/j.rboe.2017.11.016","journal-title":"Rev Bras Ortop (Sao Paulo)"},{"key":"4283_CR25","doi-asserted-by":"publisher","DOI":"10.55095\/achot2015\/061","author":"M Hrubina","year":"2015","unstructured":"Hrubina M, Skot\u00e1k M, Letocha J (2015) Dynamic hip screw Osteosynthesis for proximal femoral fractures in patients with Coxarthrosis. Acta Chir Orthop Traumatol Cech. https:\/\/doi.org\/10.55095\/achot2015\/061","journal-title":"Acta Chir Orthop Traumatol Cech"},{"issue":"10","key":"4283_CR26","first-page":"595","volume":"11","author":"KM Amer","year":"2023","unstructured":"Amer KM, Congiusta DV, Smith B et al (2023) Cephalomedullary nailing has a higher reoperation rate compared to sliding hip screw fixation in the treatment of intertrochanteric femur fractures: a systematic literature review and meta-analysis. Arch Bone Joint Surg 11(10):595\u2013604","journal-title":"Arch Bone Joint Surg"},{"key":"4283_CR27","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2023.108150","author":"BY Ben","year":"2023","unstructured":"Ben BY, Dinia M, Berrada MS (2023) Pertrochanteric fracture of an ankylosed hip with protrusio acetabuli treated by PFNA nail: a case report of a rare case. Int J Surg Case Rep. https:\/\/doi.org\/10.1016\/j.ijscr.2023.108150","journal-title":"Int J Surg Case Rep"},{"key":"4283_CR28","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.08.059","author":"BJ Merema","year":"2017","unstructured":"Merema BJ, Kraeima J, ten Duis K et al (2017) The design, production and clinical application of 3D patient-specific implants with drilling guides for acetabular surgery. Injury. https:\/\/doi.org\/10.1016\/j.injury.2017.08.059","journal-title":"Injury"},{"key":"4283_CR29","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199072010-00008","author":"DJ Kilgus","year":"1990","unstructured":"Kilgus DJ, Amstutz HC, Wolgin MA, Dorey FJ (1990) Joint replacement for ankylosed hips. J Bone Joint Surg Ser A. https:\/\/doi.org\/10.2106\/00004623-199072010-00008","journal-title":"J Bone Joint Surg Ser A"},{"key":"4283_CR30","doi-asserted-by":"publisher","first-page":"963","DOI":"10.2106\/00004623-198870070-00002","volume":"70","author":"GM Strathy","year":"1988","unstructured":"Strathy GM, Fitzgerald RH (1988) Total hip arthroplasty in the ankylosed hip: a ten-year follow-up. J Bone Joint Surg Series A 70:963\u2013966. https:\/\/doi.org\/10.2106\/00004623-198870070-00002","journal-title":"J Bone Joint Surg Series A"},{"key":"4283_CR31","doi-asserted-by":"publisher","DOI":"10.1007\/s004020050038","author":"D Sch\u00e4fer","year":"2000","unstructured":"Sch\u00e4fer D, Dick W, Morscher E (2000) Total hip arthroplasty after arthrodesis of the hip joint. Arch Orthop Trauma Surg. https:\/\/doi.org\/10.1007\/s004020050038","journal-title":"Arch Orthop Trauma Surg"},{"key":"4283_CR32","unstructured":"Van Biezen FC, Van Gool RAJ, Reijman M, Verhaar JAN (2007) Klinische uitkomsten van totale heupprothese na eerdere artrodese van de heup. Ned Tijdschr Geneeskd 151"},{"key":"4283_CR33","doi-asserted-by":"publisher","DOI":"10.1007\/s00776-009-1390-3","author":"E Rutz","year":"2009","unstructured":"Rutz E, Sch\u00e4fer D, Valderrabano V (2009) Total hip arthroplasty after hip joint ankylosis. J Orthop Sci. https:\/\/doi.org\/10.1007\/s00776-009-1390-3","journal-title":"J Orthop Sci"},{"key":"4283_CR34","doi-asserted-by":"publisher","DOI":"10.1097\/01.blo.0000081935.75404.7f","author":"YH Kim","year":"2003","unstructured":"Kim YH, Oh SH, Kim JS, Lee SH (2003) Total hip arthroplasty for the treatment of osseous ankylosed hips. Clin Orthop Relat Res. https:\/\/doi.org\/10.1097\/01.blo.0000081935.75404.7f","journal-title":"Clin Orthop Relat Res"},{"key":"4283_CR35","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2019.06.014","author":"R Malhotra","year":"2020","unstructured":"Malhotra R, Khurana A, Shekhar S, Gautam D (2020) Proximal femoral fracture in ankylosed hip treated with primary total hip arthroplasty: technical tips with report of two cases. J Clin Orthop Trauma. https:\/\/doi.org\/10.1016\/j.jcot.2019.06.014","journal-title":"J Clin Orthop Trauma"}],"container-title":["European Journal of Orthopaedic Surgery &amp; Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-025-04283-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00590-025-04283-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-025-04283-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T13:43:58Z","timestamp":1767015838000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00590-025-04283-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,12]]},"references-count":35,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["4283"],"URL":"https:\/\/doi.org\/10.1007\/s00590-025-04283-8","relation":{},"ISSN":["1432-1068"],"issn-type":[{"value":"1432-1068","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,12]]},"assertion":[{"value":"7 January 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 March 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 April 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"This study was performed in line with the principles of the Declaration of Helsinki. This study was reviewed, and a waiver was provided by the Medical Ethics Review Committee of the University Medical Center Groningen, No: METc 2017\/543. Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}],"article-number":"157"}}