Abstract:

BACKGROUND: Total hip arthroplasty is the most effective method for treatment of severe hip disease, and peripheral fractures of femur prosthesis is a serious complication after total hip arthroplasty.
OBJECTIVE: To explore the trend of the literatures related to peripheral fractures of femur prosthesis after total hip arthroplasty.
METHODS: A computer-based research was performed in CNKI database from January 2002 to December 2011 for the literatures related to the fracture around the femur prosthesis after total hip arthroplasty. The key words were “total hip arthroplasty, prosthesis, peripheral fractures”. The database analysis capabilities and Excel charts functions was used to analyze the data characteristics.
RESULTS AND CONCLUSION: The peripheral fractures of femur prosthesis after total hip arthroplasty was mainly caused by the trauma, and the renovation treatment, aging of the patients, the type of prosthesis, the fixation of the prosthesis and the increasing of the amount of joint activities also related to the occurrence of the fracture. Vancouver typing methods were often used to evaluate the peripheral fractures of femur prosthesis after total hip arthroplasty. Vancouver typing included the site of fracture, the type of fracture, fixation of prosthesis, loosening of the prosthesis and bone loss of proximal femur and other factors, which has a good guiding value on the treatment of peripheral fractures of femur prosthesis. The shape memory embracing fixator, less invasive stabilization system, locking compression plate, allogenic cortical bone plates, carbon fiber plates, impaction bone grafting and revision and other fixation methods are often used for the treatment of peripheral fractures of femur prosthesis after total hip arthroplasty.