000167987 001__ 167987 000167987 005__ 20260127151100.0 000167987 0247_ $$2doi$$a10.1016/j.injury.2021.03.023 000167987 0248_ $$2sideral$$a124398 000167987 037__ $$aART-2021-124398 000167987 041__ $$aeng 000167987 100__ $$0(orcid)0000-0001-7441-8731$$aRoche-Albero, A.$$uUniversidad de Zaragoza 000167987 245__ $$aOsteosynthesis in Vancouver type B1 periprosthetic fractures 000167987 260__ $$c2021 000167987 5060_ $$aAccess copy available to the general public$$fUnrestricted 000167987 5203_ $$aIntroduction:: The incidence of hip periprosthetic fractures (PPF) has been increasing in recent years. In Vancouver type B1 there are several osteosynthesis options. The aim of this paper is to assess both the treatment and results of Vancouver type B1 PPF in patients operated at our centre. Material and Method:: An observational retrospective study of patients operated at Hospital Universitario Miguel Servet for type B1 PPF via osteosynthesis with plate between January 2014 and March 2017. Such details were documented and analysed as type of implant used for fixation, patient demographics, complications, time to union and function score using the Harris Hip Score. The minimum follow up was 2 years. Results:: Overall, 37 patients (21 women) were available for review with a mean age of 80.7 years (range 54–99). 8 of these patients died, with an average age of 85.6 (83–95). Out of these 8 dead patients, 4 died in the first year, with an average age of 87 (83–95). 19 fractures had cemented stems whereas 18 were uncemented. According to prosthesis type, 8 had a cemented partial arthroplasty, 11 a cemented total hip arthroplasty (THA), 18 a non-cemented THA; with an average period until PPF of 2.5 years (0.2–5.6), 7 years (0.09–18.1) and 8.1 years (2.6–12.7) respectively. Devises used for stabilisation of the fracture included 27 Cable-Ready® plates (Zimmer–Biomet), 5 Dall-Miles® plates (Stryker) and 5 femur NCB® plates (Zimmer-Biomet). Complications included 5 acute superficial infections of surgical wound, 1 chronic infection, 5 pressure ulcers (4 sacral, 1 heel), 7 patients required intra-operational blood transfusion. The mean time to union was 10.35 weeks (range 6–13). The mean Harris Hip Score postoperatively was 65 (44–95). Discussion:: Treatment via open reduction and internal fixation with locked lateral plate covering most of the femur in elderly patients or those with poor bone quality, or a plate with proximal cerclages and distal screws in patients with better bone quality are appropriate treatment methods. To achieve good results using these techniques, we consider minimisation of soft tissue dissection highly important likewise using a meticulous osteosynthesis technique with special attention to biology and biomechanics. 000167987 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es 000167987 590__ $$a2.687$$b2021 000167987 591__ $$aEMERGENCY MEDICINE$$b14 / 32 = 0.438$$c2021$$dQ2$$eT2 000167987 591__ $$aORTHOPEDICS$$b42 / 86 = 0.488$$c2021$$dQ2$$eT2 000167987 591__ $$aSURGERY$$b97 / 213 = 0.455$$c2021$$dQ2$$eT2 000167987 591__ $$aCRITICAL CARE MEDICINE$$b25 / 35 = 0.714$$c2021$$dQ3$$eT3 000167987 592__ $$a0.748$$b2021 000167987 593__ $$aSurgery$$c2021$$dQ1 000167987 593__ $$aEmergency Medicine$$c2021$$dQ1 000167987 594__ $$a3.7$$b2021 000167987 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion 000167987 700__ $$0(orcid)0000-0001-7516-4737$$aMateo-Agudo, J.$$uUniversidad de Zaragoza 000167987 700__ $$0(orcid)0000-0002-0858-0340$$aMartín-Hernández, C.$$uUniversidad de Zaragoza 000167987 700__ $$0(orcid)0000-0002-1563-9136$$aArnaudas-Casanueva, M.$$uUniversidad de Zaragoza 000167987 700__ $$aGil-Albarova, J. 000167987 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina 000167987 7102_ $$11013$$2830$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Traumatología y Ortopedia 000167987 773__ $$g52, 8 (2021), 2451-2458$$pInjury$$tInjury$$x0020-1383 000167987 8564_ $$s4154333$$uhttps://zaguan.unizar.es/record/167987/files/texto_completo.pdf$$yPostprint 000167987 8564_ $$s2094492$$uhttps://zaguan.unizar.es/record/167987/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint 000167987 909CO $$ooai:zaguan.unizar.es:167987$$particulos$$pdriver 000167987 951__ $$a2026-01-27-15:07:24 000167987 980__ $$aARTICLE