Management of periprosthetic femoral fractures following hip replacement by revision arthroplasty

ABSTRACT

Stem revision was done to 13 patients with periprosthetic fracture around the femoral stem. Eleven cases were type B2 and 2 cases type B3 according to Vancouver classification. Concomitant application or revision of the acetabular component was done in 9 cases. All stems used in revision were long cement less fully coated with distal locking screws in 5 cases. Patients were followed for a mean of 1 .9 years. All patients did return to there previous state before fracture except two, one due to septic loosening and the other due to non-union