Treatment of types B2 and B3 peri-prosthetic fractures with distal fixation non-cemented stems

287 Abstract Introduction: Peri-prosthetic fracture is the third cause in frequency in hip revision following aseptic loosening and infection. The ones that show associated with a loosened stem (B2) or a bone stock deficit (B3) should receive femoral revision. Materials and Methods: We studied retrospectively 38 patients with types B2 and B3 femur peri-prosthetic fracture treated with distal fixation non-cemented stems with neither bone graft nor osteosynthesis plates. Average follow-up was 2.5 years (range 1.5-10). Results: The average score in the Harris Hip Score was 69 (range 57-91). There was bone healing in all cases. Survival free from revision was 94.8%. Complications were: one (2.6%) >5 mm stem subsidence, one (2.6%) dislocation, two (5.2%) infections and one (2.6%) wound hematoma. Conclusion: Revision techniques with distal fixation non-cemented stems with no bone graft have proved to be effective methods for the treatment of types B2 and B3 hip peri-prosthetic fractures.