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A Journal on Orthopedics and Traumatology

Official Journal of the Piedmontese-Ligurian-Lombard Society of Orthopedics and Traumatology
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Minerva Ortopedica e Traumatologica 2003 October;54(5):357-68

language: English

Periprosthetic fractures of the femur after hip replacement

Masri B. A. 1, Meek R. M. D. 2, Garbuz D. S. 1, Duncan C. P. 1

1 Department of Orthopaedics University of British Columbia, Vancouver British Columbia, Canada
2 Department of Orthopaedics Southern General Hospital Glasgow, United Kingdom


Periprosthetic fracture of the femur after hip replacement is a serious complication of total hip arthroplasty (THA), the prevalence of which is increasing. It can be difficult to treat, and potentially fraught with complications. The prevention of these fractures is achieved by improved techniques in primary arthroplasty surgery; reduction of wear induced osteolysis; and appropriately timed revision of loose or osteolytic femoral components. However, once a periprosthetic fracture has occurred, then the optimal outcome is achieved when the surgeon has a thorough understanding of the principles of treatment and has access to appropriate fixation and prosthetic devices, and allograft bone as required. Treatment is based on the site of fracture, implant stability, and bone stock. The Vancouver classification offers a reproducible description of these factors and a logical approach to treatment.

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