HSS Journal

, Volume 3, Issue 2, pp 190–197 | Cite as

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

  • Keith Holley
  • Jonathan Zelken
  • Douglas Padgett
  • George Chimento
  • Andrew Yun
  • Robert Buly
Original Article


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 


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Copyright information

© Hospital for Special Surgery 2007

Authors and Affiliations

  • Keith Holley
    • 1
  • Jonathan Zelken
    • 2
  • Douglas Padgett
    • 2
  • George Chimento
    • 3
  • Andrew Yun
    • 4
  • Robert Buly
    • 2
  1. 1.Naval Medical Center San Diego Department of Orthopaedic SurgerySan DiegoUSA
  2. 2.Hospital for Special SurgeryCornell University Medical CenterNew YorkUSA
  3. 3.Ochsner Clinic FoundationNew OrleansUSA
  4. 4.The Arthritis Institute, John F. Kennedy HospitalIndioUSA

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