Periprosthetic Fractures of the Femur After Total Hip Arthroplasty: Cable Plate and Allograft Strut Fixation of Vancouver B1 Fractures



Periprosthetic fractures of the femur after total hip arthroplasty represent a challenging problem of increasing frequency, whose treatment is often complicated by osteopenic bone around the femoral component of the implant. These fractures are classified and commonly treated according to the Vancouver classification system. This article reviews the presentation, classification, and management of periprosthetic fractures of the femur in patients with a total hip arthroplasty. In particular, we focus on the surgical technique for managing Vancouver type B1 fractures, which occur at or just distal to the tip of the femoral stem of the prosthesis and are associated with a stable implant.

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