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Open reduction and internal fixation with a plate
1%
1/121
Open reduction and internal fixation with a cable
Revision with a short stem and plate fixation
Revision with allograft prosthesis composite
41%
50/121
Removal of the proximal femoral bone and replacement with a cemented segmental prosthesis
56%
68/121
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In type B3 fractures, the proximal femur is so deficient that it cannot be treated with open reduction and internal fixation or support a new femoral component. In younger patients, the femur can be reconstructed with allograft prosthesis composite to restore bone stock. Removal of the distal stem with trephines would compromise fixation with cement. Elderly and low-demand patients can be treated more simply with a cemented segmental replacement prosthesis, such as that used for tumor reconstruction.
1.8
(25)
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