Review Article

European Orthopaedics and Traumatology

, Volume 4, Issue 2, pp 103-109

First online:

Interprosthetic fractures—a challenge of treatment

  • Björn Gunnar OchsAffiliated withBG Trauma Centre Email author 
  • , Ulrich StöckleAffiliated withBG Trauma Centre
  • , Florian GebhardAffiliated withDepartment of Trauma-, Hand- and Reconstructive Surgery, University of Ulm

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The incidence of periprosthetic femoral fractures rises continuously as both the number of hip and knee replacements and the life expectancy of the population are increasing. Likewise, interprosthetic femoral fractures, occurring between ipsilateral total hip and total knee arthroplasties, are an increasingly common and challenging problem. The majority of these fractures is localized at the femoral supracondylar region. Their treatment is not only technically demanding but also susceptible to complications. It has to be decided depending on the fracture type, surrounding bone stock, fracture localization, stability of the prosthesis, and the general condition of the often multimorbid patients whether osteosynthesis, revision of the prosthesis, or—when combined with periprosthetic infection—an amputation is indicated in the individual case. The modified Vancouver classification for interprosthetic femoral fractures was used for a systematic presentation of the indications, surgical techniques, and results.


Periprosthetic femoral fractures Vancouver classification Hip and knee replacements