Periprosthetic Hip Fracture due to Ballistic Injuries
Periprosthetic hip fractures are a common cause for revision. To date, however, there are no reports of periprosthetic fractures (PFs) in total hip arthroplasty caused by ballistic injury (BI). There are no current recommendations on the management of this pathology in the literature. The objective...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-12-01
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| Series: | Arthroplasty Today |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344124002322 |
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| author | Felipe Sandoval, MD Joaquin Valenzuela, MD Maximiliano Carmona, MD Bénjamin Guiloff, MD Martin Salgado, MD |
| author_facet | Felipe Sandoval, MD Joaquin Valenzuela, MD Maximiliano Carmona, MD Bénjamin Guiloff, MD Martin Salgado, MD |
| author_sort | Felipe Sandoval, MD |
| collection | DOAJ |
| description | Periprosthetic hip fractures are a common cause for revision. To date, however, there are no reports of periprosthetic fractures (PFs) in total hip arthroplasty caused by ballistic injury (BI). There are no current recommendations on the management of this pathology in the literature. The objective of this paper is to report on 2 successfully treated cases of PF caused by BIs. Additionally, a brief review of the literature regarding open fracture secondary to BIs is carried out. What we consider appropriate initial and definitive management for these patients is outlined. According to our clinical results and current evidence, adequate management for a BI Vancouver B1 femoral PF consists of early antibiotic therapy, surgical debridement, osteosynthesis with variable angle locking plate, structural allograft, cerclage wires, and negative pressure wound therapy. |
| format | Article |
| id | doaj-art-6b5edffd0ceb496180a5c9b66960b340 |
| institution | OA Journals |
| issn | 2352-3441 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj-art-6b5edffd0ceb496180a5c9b66960b3402025-08-20T01:58:31ZengElsevierArthroplasty Today2352-34412024-12-013010154710.1016/j.artd.2024.101547Periprosthetic Hip Fracture due to Ballistic InjuriesFelipe Sandoval, MD0Joaquin Valenzuela, MD1Maximiliano Carmona, MD2Bénjamin Guiloff, MD3Martin Salgado, MD4Department of Orthopaedic Surgery, Complejo Asistencial Sótero Del Río, Santiago, Región Metropolitana, Chile; Department of Orthopaedic Surgery, Hospital de Carabineros, Santiago, Región Metropolitana, Chile; Corresponding author. Department of Orthopedics, Complejo Asistencial Sótero del Río, AV. Concha y Toro 3459, 8207257, Puente Alto, Santiago, Chile. Tel.: +5 695 445 9026.Department of Orthopaedic Surgery, Complejo Asistencial Sótero Del Río, Santiago, Región Metropolitana, Chile; Department of Orthopaedic Surgery, Clínica Universidad de los Andes, Santiago, Región Metropolitana, ChileDepartment of Orthopaedic Surgery, Complejo Asistencial Sótero Del Río, Santiago, Región Metropolitana, Chile; Department of Orthopaedic Surgery, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Región Metropolitana, ChileDepartment of Orthopaedic Surgery, Complejo Asistencial Sótero Del Río, Santiago, Región Metropolitana, Chile; Department of Orthopaedic Surgery, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Región Metropolitana, ChileDepartment of Orthopaedic Surgery, Complejo Asistencial Sótero Del Río, Santiago, Región Metropolitana, Chile; Department of Orthopaedic Surgery, Clínica MEDS, Santiago, Región Metropolitana, ChilePeriprosthetic hip fractures are a common cause for revision. To date, however, there are no reports of periprosthetic fractures (PFs) in total hip arthroplasty caused by ballistic injury (BI). There are no current recommendations on the management of this pathology in the literature. The objective of this paper is to report on 2 successfully treated cases of PF caused by BIs. Additionally, a brief review of the literature regarding open fracture secondary to BIs is carried out. What we consider appropriate initial and definitive management for these patients is outlined. According to our clinical results and current evidence, adequate management for a BI Vancouver B1 femoral PF consists of early antibiotic therapy, surgical debridement, osteosynthesis with variable angle locking plate, structural allograft, cerclage wires, and negative pressure wound therapy.http://www.sciencedirect.com/science/article/pii/S2352344124002322Gunshot woundTotal hip arthroplastyPeriprosthetic fractureOpen fractureCase reportBallistic injury |
| spellingShingle | Felipe Sandoval, MD Joaquin Valenzuela, MD Maximiliano Carmona, MD Bénjamin Guiloff, MD Martin Salgado, MD Periprosthetic Hip Fracture due to Ballistic Injuries Arthroplasty Today Gunshot wound Total hip arthroplasty Periprosthetic fracture Open fracture Case report Ballistic injury |
| title | Periprosthetic Hip Fracture due to Ballistic Injuries |
| title_full | Periprosthetic Hip Fracture due to Ballistic Injuries |
| title_fullStr | Periprosthetic Hip Fracture due to Ballistic Injuries |
| title_full_unstemmed | Periprosthetic Hip Fracture due to Ballistic Injuries |
| title_short | Periprosthetic Hip Fracture due to Ballistic Injuries |
| title_sort | periprosthetic hip fracture due to ballistic injuries |
| topic | Gunshot wound Total hip arthroplasty Periprosthetic fracture Open fracture Case report Ballistic injury |
| url | http://www.sciencedirect.com/science/article/pii/S2352344124002322 |
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