Does the order matter? Comparing the order of stem placement and fracture reduction in revision total hip arthroplasty for Vancouver B2 and B3 periprosthetic femur fractures - Takeaways - MDSpire

Does the order matter? Comparing the order of stem placement and fracture reduction in revision total hip arthroplasty for Vancouver B2 and B3 periprosthetic femur fractures

  • By

  • Sophia S. Antonioli

  • Farouk Khury

  • Mitchell F. Kennedy

  • Muhammad A. Haider

  • Alexander Duke

  • Ran Schwarzkopf

  • Vinay K. Aggarwal

  • June 3, 2026

  • 0 min

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  • 1

    The study investigates the impact of stem placement sequence on outcomes in revision total hip arthroplasty for Vancouver B2 and B3 periprosthetic femur fractures.

  • 2

    A total of 46 patients were included, divided into two cohorts based on whether the femoral stem was placed before or after fracture reduction.

  • 3

    Primary outcomes measured included radiographic subsidence, implant survivorship at 2 years, and clinical complications or re-revision rates.

  • 4

    The study aims to clarify whether the order of stem placement and fracture reduction affects surgical success and patient outcomes.

  • 5

    Statistical analyses were performed to determine significant differences in outcomes between the two surgical approaches.

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