Table 4 Summary of the literature on atypical periprosthetic femoral fracture (APFF).
Robinson et al.14 | Lee et al.15 | MacKenzie et al.17 | Leclerc et al.16 | Our study | |
|---|---|---|---|---|---|
Total | 21 | 7 | 16 | 11 | 43 |
Gender, M:F, n(%) | 2:19 (10%:90%) | 0:7 (0%:100%) | 2:14 (12.5%:87.5%) | 2:9 (18.8%:81.2%) | 4:39 (7.6%:92.3%) |
Mean age, years (SD or range) | 80 | 81.8 (5.6) | 73.9 (44 to 88) | 72.3 (11.6) | 78.0 (8.4) |
History of BPs use, n(%) | 10(100%) | 6 (85.7%) | 13 (81%) | 8 (72.7%) | 27 (62.8%) |
Duration of BPs use, years (SD or range) | > 2 | 4.4 (3.6) | 5.5 (3.2 to 10.6) | Unknown | 6.3 (3.1) |
Fracture displaced:undisplaced, n(%) | Unknown | 6:1 (85.7%:14.3%) | Unknown | 8:3 (72.7%:27.3%) | 37:6 (86%:14%) |
Stem, cemented:cementless, n(%) | Mostly uncemented | 2:5 (28.6%:71.4%) | 16:0 (100%:0) | 5 :3 (62.5%:37.5%) | 13:30 (30.2%:69.8%) |
Surgery (nonoperative:ORIF:revision) | No revision | Unknown | 0:13:3 (0:81%:19%) | Unknown | 1:35:7 (2.3%:81.4%:16.3%) |
Duration of bone union | 8mo | Unknown | Unknown | Unknown | 10.8mo (7.6) |
Any complication, n(%) | 25% | Unknown | 9 (56%) | Unknown | 9 (21%) |
Complications related to bone union, n(%) | Unknown | Unknown | 6 (38%) | Unknown | 7 (16.3%) |
