{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T12:11:42Z","timestamp":1767183102331,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Objective: This study aimed to investigate the mid-to-long-term surgical outcomes of open reduction and internal fixation (ORIF) using a hybrid locking plate\/cable technique for the treatment of Vancouver type B1 and type C periprosthetic femoral fractures (PPFs) in a consecutive group of patients from a single tertiary referral center.\n\nMethods: Twenty-five patients (25 PPFs; 17 female, 8 male) in whom a Vancouver type B1 or type C PPF was diagnosed and treated by a hybrid locking plate\/cable technique from 2005 to 2016 were included in the study. Patients\u2019 functional status was categorized into 4 groups based on the Harris Hip Score (HHS) at the final follow-up: 70=poor result; 70-80=fair; 80-90=good, and 90-100=excellent. Intraand postoperative complications were also recorded. PPF union was defined clinically as the patient\u2019s ability to bear full weight with or without assistance and radiographically as the presence of a callus bridging the fracture. Subgroup analyses were conducted according to the Vancouver classification and type of fixation regarding the HHS and time to union.\n\nResults: The mean age was 57 \u00b1 16.6 (range, 17-82) years at the time of the primary hip replacement and 64 \u00b1 18.7 (range, 24-88) years at the time of PPF. The mean follow-up was 5.6 \u00b1 3.3 (range, 2-14) years from primary procedure to PPF and 6.5 \u00b1 4.1 (range, 3-15) years following PPF. There were 7 type B1 and 18 type C PPFs. At the final follow-up, the mean HHS was 71 \u00b1 7.74 (range, 57-89). According to HHS, functional results were poor in 8 patients, fair in 14 patients, and good in 3 patients. No major intra- or postoperative complications were noted. Fracture union was achieved in all patients without complications at an average of 13 \u00b1 4.9 (range, 6-24) weeks. In subgroup analysis, while no significant differences were observed in the HHS (P=.87 for the Vancouver type, P=.96 for the type of fixation), time to union differed among groups. Time to union was significantly shorter in type B1 than in type C PPFs (P=.006). Time to union was considerably shorter in the uncemented group compared to the cemented one (P=.017).\n\nConclusion: Adding cables to the locking plate can provide adequate stability to preserve fracture alignment and achieve bony union in Vancouver type B1 and C PPFs. Although union can be achieved by ORIF in such patients, a longer union time may be required for PPFs in the setting of a cemented femoral stem or Vancouver type C.\n\nLevel of Evidence: Level IV, Therapeutic study.\n\nCite this article as: \u015een C, K\u0131z\u0131lkurt T, Demirel M, M\u00fc\u00e7teba Y\u0131ld\u0131r\u0131m A, Sa\u011flam Y, \u00d6zt\u00fcrk \u0130. Surgical outcomes of cable plate fixation in the treatment of Vancouver type B1 and type C periprosthetic femoral fractures: a retrospective case series. Acta Orthop Traumatol Turc., 2024;58(4):235-243.<\/jats:p>","DOI":"10.5152\/j.aott.2024.23124","type":"journal-article","created":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T07:28:15Z","timestamp":1726644495000},"page":"235-243","source":"Crossref","is-referenced-by-count":2,"title":["Surgical outcomes of cable plate fixation in treatment of Vancouver type B1 and type C periprosthetic femoral fractures: a retrospective case series"],"prefix":"10.5152","volume":"58","author":[{"given":"Cengiz","family":"\u015een","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taha","family":"K\u0131z\u0131lkurt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Demirel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet M\u00fc\u00e7teba","family":"Y\u0131ld\u0131r\u0131m","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yavuz","family":"Sa\u011flam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u0130rfan","family":"\u00d6zt\u00fcrk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2024,9,18]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/3934\/3880","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T09:21:45Z","timestamp":1763457705000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3934"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,18]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,1,4]]}},"URL":"https:\/\/doi.org\/10.5152\/j.aott.2024.23124","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2024,9,18]]}}}