Joints III Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Question 2)A 76-year-old man underwent right total hip arthroplasty. He fell from a step ladder and is unable to bear weight on his right side. A radiographic evaluation reveals a Vancouver B2 periprosthetic femur fracture. What is the best next step?Select the Correct AnswerPlace a hip abduction brace and allow partial weight bearing with reevaluation in 2 weeksProceed with surgical treatment using cortical strut graft and plate and cerclage wire fixation of the fractureRevise the femoral component with a long-stem device and perform fracture stabilization using a plate and cerclage wire constructRevise the femoral component with a proximal femoral replacement constructPerform a staged procedure with fracture fixation followed by femoral revision once the fracture has healedCorrect Answer: Revise the femoral component with a long-stem device and perform fracture stabilization using a plate and cerclage wire construct References: Shah RP, Sheth NP, Gray C, Alosh H, Garino JP. Periprosthetic fractures around loose femoral components. J Am Acad Orthop Surg. 2014 Aug;22(8):482-90. doi: 10.5435/JAAOS-22-08-482. Review. PubMed PMID: 25063746. Munro JT, Garbuz DS, Masri BA, Duncan CP. Tapered fluted titanium stems in the management of Vancouver B2 and B3 periprosthetic femoral fractures. Clin Orthop Relat Res. 2014 Feb;472(2):590-8. doi: 10.1007/s11999-013-3087-3. PMID: 23719963; PMCID: PMC3890200. Wrong Answer: Please try again! Submit Post navigation Previous QuestionJoints IINext QuestionPediatrics I
