A Rare Case of Open (Gustilo II) Periprosthetic Fracture (Vancouver B2) in a Polytraumatized Patient

Document Type : CASE REPORT


1 San Luigi Gonzaga, Department of Orthopedics and Traumatology, Orbassano (Turin), Italy/Department of Surgical Sciences, University of Turin, Turin, Italy

2 Michele and Pietro Ferrero Hospital, Verduno, Italy



Periprosthetic femoral fracture is the third most frequent complication after total hip replacement (THR). It is mainly caused by low-energy trauma in the elderly. Open periprosthetic fractures are significantly rarer and are caused by high-energy trauma. Here we present a case of a 73-year-old man who sustained an open (Gustilo II) left periprosthetic femoral fracture with an unstable femoral component (Vancouver B2). After an early stabilization with a temporary external fixator, a single-stage revision using a tapered long femoral stem was performed. At the last follow-up (3.2 years), the patient was satisfied and walked without pain and aids, and the Harris Hip Score was 83.5. No signs of infection or osteolysis were present in the last radiographs.
Level of evidence: V


Main Subjects

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Volume 11, Issue 11
November 2023
Pages 717-720
  • Receive Date: 04 April 2023
  • Revise Date: 14 May 2023
  • Accept Date: 10 May 2023
  • First Publish Date: 20 June 2023