Periprosthetic Hip Fracture due to Ballistic Injuries

Abstract

Periprosthetic hip fractures are a common cause for revision. To date, however, there are no reports of periprosthetic fractures (PFs) in total hip arthroplasty caused by ballistic injury (BI). There are no current recommendations on the management of this pathology in the literature. The objective of this paper is to report on 2 successfully treated cases of PF caused by BIs. Additionally, a brief review of the literature regarding open fracture secondary to BIs is carried out. What we consider appropriate initial and definitive management for these patients is outlined. According to our clinical results and current evidence, adequate management for a BI Vancouver B1 femoral PF consists of early antibiotic therapy, surgical debridement, osteosynthesis with variable angle locking plate, structural allograft, cerclage wires, and negative pressure wound therapy.

Keywords

• Gunshot wound
• Total hip arthroplasty
• Periprosthetic fracture
• Open fracture
• Case report
• Ballistic injury