{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T03:58:28Z","timestamp":1771300708512,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,10,12]],"date-time":"2014-10-12T00:00:00Z","timestamp":1413072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001786","name":"University of Adelaide","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001786","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Revision surgery is currently the recommended treatment for <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>ancouver <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>2 femoral periprosthetic fractures, but isolated open reduction and internal fixation (<jats:styled-content style=\"fixed-case\">ORIF<\/jats:styled-content>) might be an effective treatment for these fractures around cemented collarless polished tapered (<jats:styled-content style=\"fixed-case\">CCPT<\/jats:styled-content>) stems, as these stems can re\u2010engage in the cement mantle, regaining stability following internal fixation. The aim of this study was to determine the operative risks, post\u2010operative complications, and radiographic and functional outcomes in two cohorts of <jats:styled-content style=\"fixed-case\">V<\/jats:styled-content>ancouver <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>2 femoral fractures around <jats:styled-content style=\"fixed-case\">CCPT<\/jats:styled-content> stems treated either by <jats:styled-content style=\"fixed-case\">ORIF<\/jats:styled-content> alone or revision surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The results of 12 patients with <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>2 periprosthetic fractures around a <jats:styled-content style=\"fixed-case\">CCPT<\/jats:styled-content> stems treated by <jats:styled-content style=\"fixed-case\">ORIF<\/jats:styled-content> alone (median follow\u2010up 67 months) were compared with those of nine patients with a similar fracture treated by revision surgery (median follow\u2010up 59 months).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All fractures treated by <jats:styled-content style=\"fixed-case\">ORIF<\/jats:styled-content> alone healed and all stems restabilized and remained stable within their original cement mantle. These patients had significantly shorter overall operating room times (<jats:italic>P<\/jats:italic> = 0.002), surgical times (<jats:italic>P<\/jats:italic> = 0.002) and required fewer units of blood transfusion (<jats:italic>P<\/jats:italic> = 0.008) than patients in the revision cohort. In the <jats:styled-content style=\"fixed-case\">ORIF<\/jats:styled-content> cohort, one patient had two dislocations. In the revision cohort, one patient had delayed wound healing, a second patient had delayed wound healing and two dislocations, and a third patient had two dislocations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although further studies with larger numbers are required, treatment of these fractures with <jats:styled-content style=\"fixed-case\">ORIF<\/jats:styled-content> alone may be a viable alternative to revision surgery as it reduces the operative risks involved.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12884","type":"journal-article","created":{"date-parts":[[2014,10,13]],"date-time":"2014-10-13T02:01:46Z","timestamp":1413165706000},"page":"169-173","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":61,"title":["Is internal fixation alone advantageous in selected <scp>B<\/scp>2 periprosthetic fractures?"],"prefix":"10.1111","volume":"85","author":[{"given":"Lucian B.","family":"Solomon","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Trauma Royal Adelaide Hospital  Adelaide South Australia Australia"},{"name":"Centre for Orthopaedic and Trauma Research The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saleem M.","family":"Hussenbocus","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Royal Adelaide Hospital  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tania A.","family":"Carbone","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Royal Adelaide Hospital  Adelaide South Australia Australia"},{"name":"Centre for Orthopaedic and Trauma Research The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stuart A.","family":"Callary","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Royal Adelaide Hospital  Adelaide South Australia Australia"},{"name":"Centre for Orthopaedic and Trauma Research The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald W.","family":"Howie","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Royal Adelaide Hospital  Adelaide South Australia Australia"},{"name":"Centre for Orthopaedic and Trauma Research The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,10,12]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"111","article-title":"Periprosthetic fractures of the femur after total hip arthroplasty","volume":"53","author":"Lee SR","year":"2004","journal-title":"Instr. 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