Interprosthetic femoral fractures: management challenges.

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Abstract

Conflict of interest statement: Dr Ran Schwarzkopf provided consultancy service to Smith & Nephew, holds stock options from Intelijoint, and involved in the Gauss Surgical Research for Smith & Nephew. The authors report no other conflicts of interest in this work. 4. J Arthroplasty. 2024 Sep;39(9S2):S18-S25. doi: 10.1016/j.arth.2024.04.037. Epub 2024 Apr 19. What's New in Periprosthetic Femur Fractures? Gausden EB(1), Bedard NA(2), Gililland JM(3), Haidukewych GJ(4). Author information: (1)Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York. (2)Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota. (3)Department of Orthopedic Surgery, University of Utah, Salt Lake City, Utah. (4)Department of Orthopedic Surgery, Orlando Health Medical Group, Orlando, Florida. BACKGROUND: Periprosthetic femur fracture (PFF) is one of the most common indications for reoperation following total hip arthroplasty. METHODS/RESULTS: This article provides a review of a symposium on PFF that was presented at the American Association of Hip and Knee Surgeons 2023 annual meeting, including an overview of the Vancouver classification and its implications on treatment and subsequent complications, an updated approach to the management of intraoperative fractures, and finally, contemporary strategies for both osteosynthesis as well as revision arthroplasty for PFFs. CONCLUSION: As the incidence of PPF continues to increase, arthroplasty and trauma surgeons must be prepared to address this challenging complication with a contemporary understanding of the treatment options and their outcomes. Copyright © 2024. Published by Elsevier Inc. DOI: 10.1016/j.arth.2024.04.037