Prithviraj Anil Paigude

Abstract

The overall incidence of different types of periprosthetic fractures is on the rise constantly due to the increasing volume of primary joint arthroplasties and revision arthroplasties. Skills pertaining to advanced complex trauma and arthroplasty are necessary to manage these injuries. Inspite of various algorithms and classifications available regarding management of these injuries, it is necessary for the treating surgeon to understand that the treatment of periprosthetic fractures needs to be individualised optimal for that particular patient. We present our experience in a case of post traumatic periprosthetic Vancouver type B fracture after hemiarthroplasty treated with staged revision cementless long stem Total Hip Arthroplasty(THA).   Keywords: Periprosthetic, Vancouver, Total hip arthroplasty, Hemiarthroplasty, Girdlestone.

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Abstract

Giant cell tumors occurring in the proximal femoral region are rather rare and present as challenges to physicians due to their aggressive nature leading to pathological fractures. Preservation of the hip joint is rather difficult due to their affinity to the periarticular area. As per vast literature search, reconstruction of the proximal femoral region using total hip arthroplasty provide favorable results compared to hip preservation in terms of functional outcomes and reduced recurrence rates. Hereby, we present our experience in a case of proximal femoral giant cell tumor managed with total hip arthroplasty following pathological fracture.   Keywords: Giant cell tumor, Total hip arthroplasty, Proximal femur, Reconstruction.

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