Achieving Construct Stability in Periprosthetic Femur Fracture Treatment

Abstract EN

One of the greatest challenges in treating patients with periprosthetic femoral fractures is achieving bone fixation in the presence of a well-fixed stem.

Three techniques are described, which allow for improved fixation.

A clinical series of fourteen patients with periprosthetic femur fractures that underwent open reduction internal fixation utilizing these techniques were reviewed.

Thirteen patients had clinical and radiographic union.

One patient required conversion to a revision total hip arthroplasty when it was noted that he had a loose prosthesis.

Average time to radiographic union was 122 days.

The described techniques allow surgeons to obtain multiple points of fixation around the prosthesis in an effective manner.