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Open reduction and internal fixation of the femur with a plate, screws, and cerclage wires
17%
101/605
Open reduction and internal fixation of the femur with a plate, screws, cerclage wires, and cortical strut allograft
5%
29/605
Revision of the acetabular component with open reduction and internal fixation of the femur with a plate, screws, and cortical strut allograft
21%
126/605
Revision of the acetabular and femoral components
49%
294/605
Revision of the femoral component with a long cemented stem
7%
45/605
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The radiograph demonstrates a Vancouver type b-3 periprosthetic femur fracture with a loose femoral stem and acetabular component. Open reduction and internal fixation would not be appropriate in the setting of loose components. The femur has circumferential radiolucent lines in the bone-cement interface and the bone quality of the proximal femur is poor. In addition, the cemented acetabular component is loose and has migrated proximally. Appropriate treatment includes acetabular revision and femoral revision. Options for femoral revision include an allograft-prosthesis complex, extended osteotomy with cables, or a proximal femoral replacement.
1.7
(42)
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