HSS Journal

, Volume 3, Issue 2, pp 190–197

Periprosthetic Fractures of the Femur After Hip Arthroplasty: An Analysis of 99 Patients


  • Keith Holley
    • Naval Medical Center San Diego Department of Orthopaedic Surgery
  • Jonathan Zelken
    • Hospital for Special SurgeryCornell University Medical Center
  • Douglas Padgett
    • Hospital for Special SurgeryCornell University Medical Center
  • George Chimento
    • Ochsner Clinic Foundation
  • Andrew Yun
    • The Arthritis Institute, John F. Kennedy Hospital
    • Hospital for Special SurgeryCornell University Medical Center
Original Article

DOI: 10.1007/s11420-007-9045-4

Cite this article as:
Holley, K., Zelken, J., Padgett, D. et al. HSS Jrnl (2007) 3: 190. doi:10.1007/s11420-007-9045-4


The medical records and radiographs of 99 patients treated for a periprosthetic femur fracture after total hip arthroplasty over a 17-year period at a single institution were prospectively reviewed. Fractures were classified according to the Vancouver system and stratified as to treatment method. Sixty-six patients had complete records available and a minimum of 12 months follow-up. Overall, 86% of the patients achieved fracture union. The success rate of cemented revision in the B2 and B3 groups was 84%, whereas cement-less revision was 86% successful. The complication rate of surgical treatment was 29%. Fracture union with a stable implant was possible in the majority of cases. Our results support the use of the Vancouver classification as a treatment algorithm.

Key words

periprosthetic fractureTHArevision THAORIFVancouver classification

Copyright information

© Hospital for Special Surgery 2007