J Korean Fract Soc.  2020 Jan;33(1):43-51. 10.12671/jkfs.2020.33.1.43.

Treatment of Periprosthetic Femoral Fractures after Hip Arthroplasty

Affiliations
  • 1Department of Orthopedic Surgery, Keimyung University School of Medicine, Daegu, Korea. dream21jh@naver.com

Abstract

Although the incidence of postoperative periprosthetic femoral fractures after hip arthroplasty is expected to increase, these complex fractures are still challenging complications. To obtain optimal results for these fractures, thorough clinical and radiographic evaluation, precise classification, and understanding of modern management principles are mandatory. The Vancouver classification system is a simple, effective, and reproducible method for planning proper treatments of these injuries. The fractures associated with a stable femoral stem can be effectively treated with osteosynthesis, though periprosthetic femoral fractures associated with a loose stem require revision arthroplasty. We describe here the principles of proper treatment for the patients with periprosthetic femoral fractures as well as how to avoid complications.

Keyword

Femur; Periprosthetic fracture; Hip arthroplasty; Vancouver classification
Full Text Links
  • JKFS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2021 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr