What are the guidelines for the surgical and nonsurgical treatment of periprosthetic osteolysis?

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Abstract

[Indexed for MEDLINE] 18. Am J Orthop (Belle Mead NJ). 2002 Apr;31(4):221-3. Periprosthetic fractures of the femur following hip arthroplasty. Nelson CL(1). Author information: (1)Department of Orthopedic Surgery, University of Pennsylvania Medical Center, Philadelphia, USA. Periprosthetic femoral fractures are one of the leading causes of revision total hip arthroplasty. Risk factors for these fractures include intraoperative factors (ie, use of cemented technique and host factors, such as osteoporosis and osteolysis) and postoperative factors (ie, osteolysis and trauma). This article discusses prevention, evaluation, management, and technique issues of these fractures. A final section discusses the author's preferred treatment choice of these fractures, based on an algorithm developed by Duncan and Masri.