{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:02:20Z","timestamp":1777676540945,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2017,5,27]],"date-time":"2017-05-27T00:00:00Z","timestamp":1495843200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2017,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Periprosthetic femoral shaft fractures are a significant complication after total hip arthroplasty (THA). Plate osteosynthesis has been the mainstay of treatment around well-fixed stems. Nonunions are a rare and challenging complication of this fixation method. We report the outcomes of a novel orthogonal plating surgical technique for Vancouver B1 and C-type periprosthetic fractures that previously failed open reduction internal fixation (ORIF).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review identified all patients with Vancouver B1\/C THA periprosthetic femoral nonunions from 2010 to 2015. Exclusion criteria included open fractures and periprosthetic infections. The technique utilised a mechanobiologic strategy of atraumatic exposure, resection of necrotic tissue, bone grafting with adjuvant bone morphogenetic protein (BMP) and revision open reduction internal fixation with orthogonal plate osteosynthesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>6 Vancouver B1\/C periprosthetic femoral nonunions were treated. 5 patients were female with an average age of 80.3 years (range 72-91 years). The fractures occurred at a mean of 5.8 years (range 1-10 years) from their initial arthroplasty procedure. No patients underwent further revision surgery; there were no perioperative complications. All patients had a minimum of 11 months follow-up (mean 18.6, range 11-36 months). All fractures achieved osseous union, defined as solid bridging callus over at least 2 cortices and pain free, independent ambulation, at an average of 24.4 weeks (range 6.1-39.7 weeks).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      This is the 1\n                      <jats:sup>st<\/jats:sup>\n                      series describing orthogonal locked compression plating using modern implants for periprosthetic femoral nonunions. This technique should be considered in periprosthetic femur fracture nonunions around a well-fixed stem.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.5301\/hipint.5000500","type":"journal-article","created":{"date-parts":[[2017,6,3]],"date-time":"2017-06-03T12:38:02Z","timestamp":1496493482000},"page":"578-583","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Orthogonal Plating of Vancouver B1 and C-Type Periprosthetic Femur Fracture Nonunions"],"prefix":"10.1177","volume":"27","author":[{"given":"Christopher E.","family":"Birch","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation, University of Vermont College of Medicine, Burlington - USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Blankstein","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation, University of Vermont College of Medicine, Burlington - USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jesse D.","family":"Chlebeck","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation, University of Vermont College of Medicine, Burlington - USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig S.","family":"Bartlett 3rd","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Rehabilitation, University of Vermont College of Medicine, Burlington - USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,5,27]]},"reference":[{"key":"bibr1-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-008-0289-1"},{"key":"bibr2-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-15-168"},{"key":"bibr3-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.02.050"},{"key":"bibr4-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B1.17029"},{"key":"bibr5-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01538"},{"key":"bibr6-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70073-0"},{"key":"bibr7-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000126"},{"key":"bibr8-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2012.12.010"},{"key":"bibr9-hipint.5000500","first-page":"293","volume":"44","author":"Duncan CP","year":"1995","journal-title":"Instr Course Lect"},{"key":"bibr10-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(00)91181-1"},{"key":"bibr11-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2011.11.021"},{"key":"bibr12-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1016\/S0883-5403(05)80111-1"},{"key":"bibr13-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200101000-00011"},{"issue":"231","key":"bibr14-hipint.5000500","first-page":"83","author":"Zenni EJ","year":"1988","journal-title":"Clin Orthop Relat Res"},{"key":"bibr15-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200709000-00011"},{"issue":"5","key":"bibr16-hipint.5000500","first-page":"511","volume":"9","author":"Mont MA","year":"1994","journal-title":"A statistical analysis of outcome based on 487 patients. J Arthroplasty"},{"key":"bibr17-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197557040-00009"},{"key":"bibr18-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197456030-00005"},{"key":"bibr19-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200212000-00013"},{"key":"bibr20-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200206000-00008"},{"issue":"11","key":"bibr21-hipint.5000500","first-page":"1180","volume":"40","author":"Bryant GK","year":"2009","journal-title":"Isolated locked compression plating for Vancouver Type B1 periprosthetic femoral fractures. Injury"},{"key":"bibr22-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2007.02.038"},{"issue":"2","key":"bibr23-hipint.5000500","first-page":"99","volume":"4","author":"Chandler HP","year":"1993","journal-title":"The use of cortical allograft struts for fixation of fractures associated with well-fixed total joint prostheses. Semin Arthroplasty"},{"key":"bibr24-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199908000-00003"},{"key":"bibr25-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2005.04.036"},{"key":"bibr26-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200109000-00007"},{"key":"bibr27-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-2404"},{"key":"bibr28-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.F.01561"},{"key":"bibr29-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2004.08.008"},{"key":"bibr30-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200103000-00005"},{"issue":"10","key":"bibr31-hipint.5000500","first-page":"2240","volume":"87","author":"Ricci WM","year":"2005","journal-title":"J Bone Joint Surg Am"},{"key":"bibr32-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2007.01.028"},{"key":"bibr33-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2010.04.009"},{"key":"bibr34-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199909000-00003"},{"issue":"1","key":"bibr35-hipint.5000500","first-page":"87","volume":"48","author":"Jazrawi LM","year":"2000","journal-title":"New technique for treatment of unstable distal femur fractures by locked double-plating: case report and biomechanical evaluation. J Trauma"},{"key":"bibr36-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199173030-00004"},{"key":"bibr37-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-002-0383-z"},{"key":"bibr38-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-012-0204-0"},{"key":"bibr39-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-014-2464-1"},{"key":"bibr40-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(07)80012-X"},{"key":"bibr41-hipint.5000500","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-009-0846-2"},{"key":"bibr42-hipint.5000500","unstructured":"AO Foundation Articulated Tension Device. https:\/\/www2.aofoundation.org\/. Accessed March 15, 2017."}],"container-title":["HIP International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/hipint.5000500","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.5301\/hipint.5000500","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.5301\/hipint.5000500","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:19:21Z","timestamp":1777450761000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.5301\/hipint.5000500"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,27]]},"references-count":42,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,11]]}},"alternative-id":["10.5301\/hipint.5000500"],"URL":"https:\/\/doi.org\/10.5301\/hipint.5000500","relation":{},"ISSN":["1120-7000","1724-6067"],"issn-type":[{"value":"1120-7000","type":"print"},{"value":"1724-6067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,5,27]]}}}