{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T01:36:18Z","timestamp":1746495378983},"reference-count":12,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"10","license":[{"start":{"date-parts":[[2006,10,1]],"date-time":"2006-10-01T00:00:00Z","timestamp":1159660800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2006,10]]},"abstract":"<jats:p> Peri- and sub-prosthetic fractures, or pathological fractures below an existing well-fixed femoral component, with or without an ipsilateral knee replacement, present a difficult surgical challenge. <\/jats:p><jats:p> We describe a simple solution, in which a custom-made prosthesis with a cylindrical design is cemented proximally to the stem of an existing, well-fixed femoral component. This effectively treats the fracture without sacrificing the good hip. We describe five patients with a mean age of 73 years (60 to 81) and a mean follow-up of 47 months (6 to 108). <\/jats:p><jats:p> The mean overlap of the prosthesis over the femoral component was 7.5 cm (5.5 to 10). There have been no mechanical failures, no new infections and no re-operations. We suggest that in highly selected cases, in which conventional fixation is not feasible, this technique offers a durable option and avoids the morbidity of a total femoral replacement. <\/jats:p>","DOI":"10.1302\/0301-620x.88b10.17772","type":"journal-article","created":{"date-parts":[[2006,9,29]],"date-time":"2006-09-29T16:53:40Z","timestamp":1159548820000},"page":"1299-1302","source":"Crossref","is-referenced-by-count":12,"title":["A custom-made prosthesis attached to an existing femoral component for the treatment of peri- and sub-prosthetic fracture"],"prefix":"10.1302","volume":"88-B","author":[{"given":"R.","family":"Tillman","sequence":"first","affiliation":[{"name":"Royal Orthopaedic Hospital, Bristol Road South, Birmingham, B31 2AP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Kalra","sequence":"additional","affiliation":[{"name":"Royal Orthopaedic Hospital, Bristol Road South, Birmingham, B31 2AP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Grimer","sequence":"additional","affiliation":[{"name":"Royal Orthopaedic Hospital, Bristol Road South, Birmingham, B31 2AP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Carter","sequence":"additional","affiliation":[{"name":"Royal Orthopaedic Hospital, Bristol Road South, Birmingham, B31 2AP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Abudu","sequence":"additional","affiliation":[{"name":"Royal Orthopaedic Hospital, Bristol Road South, Birmingham, B31 2AP, UK."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Kyle RF, Crickard GE 3rd. 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