Vancouver type-B2 periprosthetic femoral fracture.
Effective treatment of a periprosthetic fracture requires a treatment strategy that is based on careful evaluation of the fracture pattern.
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Effective treatment of a periprosthetic fracture requires a treatment strategy that is based on careful evaluation of the fracture pattern.
Frequency is studied of adequate, redundant, inert, and reduced types of thermoreactivity in healthy subjects and patients with fractures. Definition of type of thermoreactivity to cooling in patients with fractures of the thighbone permits prognosticating the course of the bone fracture healing process. The symptom of distal hyperthermia/hypothermia is unspecific but is regarded as a supplementary index of the type of thermoreactivity and character of the course of the fracture healing process.
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Also the authors' Department shares SPIER's opinion, according to which the ideal treatment of the proximal femur fractures is the osteosynthesis, with the greatest stability. The aim of surgical treatment of the fracture is the motion-stable and possibly loading-stable osteosynthesis. Since proximal femur fractures occur mostly in aged patients, the survival is considerably augmented by early and efficacious mobilization. If the general state of the patient is suitable, after consultation with the anaesthesiologist and the internist the surgical intervention is carried out. AO-condyle-plate yields further possibility to the loading-stable osteosynthesis of the pertrochanteric fractures.
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