Periprosthetic hip fractures: an update into their management and clinical outcomes.

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Abstract

Conflict of interest statement: ICMJE Conflict of interest statement: The authors declare no conflict of interest relevant to this work. 3. Orthop Res Rev. 2019 Sep 16;11:119-128. doi: 10.2147/ORR.S209647. eCollection 2019. Interprosthetic femoral fractures: management challenges. Rozell JC(1), Delagrammaticas DE(2), Schwarzkopf R(1). Author information: (1)Department of Orthopaedic Surgery, NYU Langone Orthopaedic Hospital, New York, NY, USA. (2)Central Coast Orthopedics, San Luis Obispo, CA, USA. Interprosthetic femur fractures are a rare but serious complication following total hip and knee arthroplasty. Classification systems have focused not only on diagnosis but also on treatment algorithm. Critical to the evaluation of patients with these fractures are an assessment of fracture location, bone quality, and the presence of stemmed implants. The gold standard for fracture fixation is locked plating with bicortical and unicortical screws, supplemented with wires or cables as needed. For patients with compromised bone stock or insufficient bony area for fixation, allograft augmentation with struts or interprosthetic sleeves may be used. For fractures with severe bone loss, conversion to a megaprosthesis or total femur replacement may be warranted. © 2019 Rozell et al. DOI: 10.2147/ORR.S209647 PMCID: PMC6754334