| Objective To explore the feasibility and clinical effect of Cable-Ready® GTR device for periprosthetic femoral fractures combined with osteoporosis. Methods Between May 2012 and December 2013, twelve consecutive patients with periprosthetic femoral fracture were treated with Cable-Ready® GTR device. There were seven men and five women with an average age of 70.2 years (range 62 to 78 years) at the time of fracture. According to the injurious cause, 10 of them were fall injure and 2 was impact injure. The average period between original operation and periprosthetic fracture was 16.5 months (range 6 to 120 months). Nine prostheses were uncemented and 3 were cemented. Three fractures were around total hip arthroplasty and 9 were around hemiarthroplasty. According to Vancouver standard, there were 3 cases of type A, 7 cases of type B1, and 2 cases of type B2. Incision, surgical time, blood loss, drainage and complications were measured. The pre- and post operative hip function was evaluated by Harris hip score. Results The mean blood loss was 375.3 mL (range 250 to 550 mL). The mean time of operation was 142.6 min (range 98 to 150 min). The mean duration of follow-up was 60.8 months (range 52 to 71 months). Twelve fractures united in an average period of 5.2 months (range 3 to 8 months). At time of final follow-up, the mean Harris hip score was 88.9 (range 75 to 92). The overall outcome was excellent in 5 patients, good in 4 patients, fair in 3 patients. One elderly patient suffered heart failure, which was cured after medical conservative treatment. None had compilations of deep venous thrombosis, loss of reductions, screws loosening, plate break and infection. Conclusion Cable-Ready® GTR device is a good alternative for treating periprosthetic femoral fractures with obvious advantages of simple operation and reliable fixation. |
