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Emergent open reduction and internal fixation of the fracture
1%
4/287
Emergent consultation with vascular surgery and a possible arteriogram
80%
230/287
Revision of the femoral component followed by vascular surgical consultation
3%
8/287
Open reduction and internal fixation of the fracture with intraoperative vascular consultation
8%
24/287
Release traction until surgical management is performed
6%
18/287
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The patient has a Vancouver type B3 periprosthetic femur fracture (fracture around a total hip prosthesis with a loose stem and poor proximal bone stock). This type of periprosthetic fracture necessitates revision of the femoral component as well as fracture fixation. This patient has diminished blood flow in the extremity that necessitates emergent vascular surgical evaluation.
1.7
(35)
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