Original Article

HSS Journal

, Volume 3, Issue 2, pp 190-197

First online:

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

  • Keith HolleyAffiliated withNaval Medical Center San Diego Department of Orthopaedic Surgery
  • , Jonathan ZelkenAffiliated withHospital for Special Surgery, Cornell University Medical Center
  • , Douglas PadgettAffiliated withHospital for Special Surgery, Cornell University Medical Center
  • , George ChimentoAffiliated withOchsner Clinic Foundation
  • , Andrew YunAffiliated withThe Arthritis Institute, John F. Kennedy Hospital
  • , Robert BulyAffiliated withHospital for Special Surgery, Cornell University Medical Center Email author 

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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 fracture THA revision THA ORIF Vancouver classification