{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T08:54:03Z","timestamp":1760864043800},"reference-count":30,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2018,11,1]],"date-time":"2018-11-01T00:00:00Z","timestamp":1541030400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Orthopaedic Science"],"published-print":{"date-parts":[[2018,11]]},"DOI":"10.1016\/j.jos.2018.07.014","type":"journal-article","created":{"date-parts":[[2018,8,10]],"date-time":"2018-08-10T22:58:55Z","timestamp":1533941935000},"page":"982-986","update-policy":"http:\/\/dx.doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"title":["Modification of the Unified Classification System for periprosthetic femoral fractures after hip arthroplasty"],"prefix":"10.1016","volume":"23","author":[{"given":"Jie-Feng","family":"Huang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xian-Jun","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian-Jian","family":"Shen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pei-Jian","family":"Tong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao-Hong","family":"Fan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"7","key":"10.1016\/j.jos.2018.07.014_bib1","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1016\/j.arth.2005.02.001","article-title":"Periprosthetic femoral fractures classification and demographics of 1049 periprosthetic femoral fractures from the Swedish National Hip Arthroplasty Register","volume":"20","author":"Lindahl","year":"2005","journal-title":"J\u00a0Arthroplasty"},{"issue":"4","key":"10.1016\/j.jos.2018.07.014_bib2","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1302\/0301-620X.98B4.38069","article-title":"Periprosthetic femoral fractures: a window into some of the challenges we face","volume":"98-B","author":"Haddad","year":"2016","journal-title":"Bone Joint J"},{"issue":"6","key":"10.1016\/j.jos.2018.07.014_bib3","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1302\/0301-620X.96B6.34040","article-title":"The unified classification system (UCS): improving our understanding of periprosthetic fractures","volume":"96-B","author":"Duncan","year":"2014","journal-title":"Bone Joint J"},{"issue":"6","key":"10.1016\/j.jos.2018.07.014_bib4","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/j.otsr.2014.03.030","article-title":"Soci\u00e9t\u00e9 fran\u00e7aise de chirurgie orthop\u00e9dique et traumatologique (SoFCOT). Revision of primary total hip arthroplasty for peri-prosthetic fracture: a prospective epidemiological study of 249 consecutive cases in France","volume":"100","author":"Ehlinger","year":"2014","journal-title":"Orthop Traumatol Surg Res"},{"issue":"5","key":"10.1016\/j.jos.2018.07.014_bib5","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1302\/0301-620X.94B5.27073","article-title":"A\u00a0financial analysis of revision hip arthroplasty: the economic burden in relation to the national tariff","volume":"94","author":"Vanhegan","year":"2012","journal-title":"J\u00a0Bone Joint Surg Br"},{"issue":"1","key":"10.1016\/j.jos.2018.07.014_bib6","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00264-014-2476-x","article-title":"New classification focusing on implant designs useful for setting therapeutic strategy for periprosthetic femoral fractures","volume":"39","author":"Baba","year":"2015","journal-title":"Int Orthop"},{"issue":"12","key":"10.1016\/j.jos.2018.07.014_bib7","doi-asserted-by":"crossref","first-page":"1576","DOI":"10.1302\/0301-620X.90B12.20681","article-title":"European validation of the Vancouver classification of periprosthetic proximal femoral fractures","volume":"90","author":"Rayan","year":"2008","journal-title":"J\u00a0Bone Joint Surg Br"},{"issue":"9","key":"10.1016\/j.jos.2018.07.014_bib8","doi-asserted-by":"crossref","first-page":"1765","DOI":"10.1007\/s00264-015-2830-7","article-title":"New fracture pattern focusing on implant fracture for periprosthetic femoral fractures","volume":"39","author":"Huang","year":"2015","journal-title":"Int Orthop"},{"key":"10.1016\/j.jos.2018.07.014_bib9","first-page":"293","article-title":"Fractures of the femur after hip replacement","volume":"44","author":"Duncan","year":"1995","journal-title":"Instr Course Lect"},{"key":"10.1016\/j.jos.2018.07.014_bib10","doi-asserted-by":"crossref","first-page":"241","DOI":"10.2106\/00004623-196446020-00002","article-title":"Fracture of the femur following prosthetic arthroplasty of the hip: report of nine cases","volume":"46","author":"Parrish","year":"1964","journal-title":"J\u00a0Bone Joint Surg Am"},{"issue":"8","key":"10.1016\/j.jos.2018.07.014_bib11","first-page":"675","article-title":"Fractures of the femur about femoral endoprostheses","volume":"14","author":"Whittaker","year":"1974","journal-title":"J\u00a0Trauma"},{"issue":"9","key":"10.1016\/j.jos.2018.07.014_bib12","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.2106\/00004623-198163090-00009","article-title":"Fracture of the ipsilateral femur in patients wih total hip replacement","volume":"63","author":"Johansson","year":"1981","journal-title":"J\u00a0Bone Joint Surg Am"},{"key":"10.1016\/j.jos.2018.07.014_bib13","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1097\/00003086-198210000-00013","article-title":"Proximal femoral fractures following total hip arthroplasty","volume":"170","author":"Bethea","year":"1982","journal-title":"Clin Orthop Relat Res"},{"issue":"3","key":"10.1016\/j.jos.2018.07.014_bib14","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1302\/0301-620X.70B3.3372557","article-title":"Fractures of the femur in relation to cemented hip prostheses","volume":"70","author":"Cooke","year":"1988","journal-title":"J\u00a0Bone Joint Surg Br"},{"issue":"1","key":"10.1016\/j.jos.2018.07.014_bib15","doi-asserted-by":"crossref","first-page":"9","DOI":"10.3109\/17453678809149334","article-title":"Femoral shaft fracture after hip arthroplasty","volume":"59","author":"Jensen","year":"1988","journal-title":"Acta Orthop Scand"},{"issue":"8","key":"10.1016\/j.jos.2018.07.014_bib16","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.3928\/0147-7447-19890801-06","article-title":"Fracture of the femur after total hip arthroplasty","volume":"12","author":"Roffman","year":"1989","journal-title":"Orthopedics"},{"issue":"2","key":"10.1016\/j.jos.2018.07.014_bib17","doi-asserted-by":"crossref","first-page":"231","DOI":"10.3928\/0147-7447-19890201-06","article-title":"Intraoperative femoral fractures associated with cementless total hip arthroplasty","volume":"12","author":"Mallory","year":"1989","journal-title":"Orthopedics"},{"key":"10.1016\/j.jos.2018.07.014_bib18","series-title":"Committee on the hip: Classification and management of femoral defects in total hip replacement. Exhibit. 57th Annual Meeting of the American Academy of Orthopedic Surgeons. New Orleans, LA","first-page":"8","author":"AAOS","year":"1990"},{"issue":"5","key":"10.1016\/j.jos.2018.07.014_bib19","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1016\/0883-5403(94)90098-1","article-title":"Fractures of the ipsilateral femur after hip arthroplasty. A statistical analysis of outcome based on 487 patients","volume":"9","author":"Mont","year":"1994","journal-title":"J\u00a0Arthroplasty"},{"issue":"327","key":"10.1016\/j.jos.2018.07.014_bib20","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1097\/00003086-199606000-00029","article-title":"Periprosthetic fractures of the femur. An analysis of 93 fractures","author":"Beals","year":"1996","journal-title":"Clin Orthop Relat Res"},{"issue":"6","key":"10.1016\/j.jos.2018.07.014_bib21","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1016\/j.injury.2007.02.053","article-title":"Classification of femoral periprosthetic fractures","volume":"38","author":"Ninan","year":"2007","journal-title":"Injury"},{"issue":"9","key":"10.1016\/j.jos.2018.07.014_bib22","doi-asserted-by":"crossref","first-page":"e479","DOI":"10.3928\/01477447-20110714-27","article-title":"The pseudo A(LT) periprosthetic fracture: it's really a B2","volume":"34","author":"Van Houwelingen","year":"2011","journal-title":"Orthopedics"},{"issue":"2","key":"10.1016\/j.jos.2018.07.014_bib23","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1007\/s11999-013-3137-x","article-title":"Periprosthetic fractures around a cementless hydroxyapatite-coated implant","volume":"472","author":"Capello","year":"2014","journal-title":"Clin Orthop Relat Res"},{"issue":"11 Supple A","key":"10.1016\/j.jos.2018.07.014_bib24","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1302\/0301-620X.96B11.34300","article-title":"Periprosthetic fractures: bespoke solutions","volume":"96-B","author":"Yasen","year":"2014","journal-title":"Bone Joint J"},{"issue":"6","key":"10.1016\/j.jos.2018.07.014_bib25","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1302\/0301-620X.96B6.34041","article-title":"Periprosthetic fractures associated with joint replacement: our Tower of Babel?","volume":"96-B","author":"Duncan","year":"2014","journal-title":"Bone Joint J"},{"issue":"11","key":"10.1016\/j.jos.2018.07.014_bib26","doi-asserted-by":"crossref","first-page":"1472","DOI":"10.1302\/0301-620X.96B11.34214","article-title":"Field testing the unified classification system for peri-prosthetic fractures of the pelvis and femur around a total hip replacement: an international collaboration","volume":"96-B","author":"Vioreanu","year":"2014","journal-title":"Bone Joint J"},{"issue":"2","key":"10.1016\/j.jos.2018.07.014_bib27","first-page":"233","article-title":"The reliability and validity of the Unified Classification System of periprosthetic femoral fractures after hip arthroplasty","volume":"82","author":"Huang","year":"2016","journal-title":"Acta Orthop Belg"},{"issue":"111","key":"10.1016\/j.jos.2018.07.014_bib28","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1097\/00003086-197509000-00014","article-title":"Fracture of femoral prostheses in total hip replacement. A clinical study","author":"Charnley","year":"1975","journal-title":"Clin Orthop Relat Res"},{"issue":"Suppl 2","key":"10.1016\/j.jos.2018.07.014_bib29","doi-asserted-by":"crossref","first-page":"S77","DOI":"10.1097\/BOT.0b013e31821b8c3b","article-title":"Periprosthetic proximal femur fractures: current concepts","volume":"25","author":"Parvizi","year":"2011","journal-title":"J\u00a0Orthop Trauma"},{"issue":"11","key":"10.1016\/j.jos.2018.07.014_bib30","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1016\/j.injury.2011.01.008","article-title":"A\u00a0unique peri-prosthetic fracture pattern in well fixed femoral stems with polished, tapered, collarless design of total hip replacement","volume":"42","author":"Grammatopoulos","year":"2011","journal-title":"Injury"}],"container-title":["Journal of Orthopaedic Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0949265818301891?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0949265818301891?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T02:07:14Z","timestamp":1661738834000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0949265818301891"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,11]]},"references-count":30,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["S0949265818301891"],"URL":"https:\/\/doi.org\/10.1016\/j.jos.2018.07.014","relation":{},"ISSN":["0949-2658"],"issn-type":[{"type":"print","value":"0949-2658"}],"subject":[],"published":{"date-parts":[[2018,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Modification of the Unified Classification System for periprosthetic femoral fractures after hip arthroplasty","name":"articletitle","label":"Article Title"},{"value":"Journal of Orthopaedic Science","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jos.2018.07.014","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2018 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}