Principles of managing Vancouver type B periprosthetic fractures around cemented polished tapered femoral stems

  • Conal QuahEmail author
  • Matthew Porteous
  • Arthur Stephen
General Review • HIP - ARTHROPLASTY


The management of periprosthetic fractures around total hip replacements is a complex and challenging problem. Getting it right first time is an important factor in reducing the morbidity, mortality and financial burden associated with these injuries. Understanding and applying the basic principles of fracture management helps increase the chance of successful treatment. Based on these principles, we suggest a treatment algorithm for managing periprosthetic fractures around polished tapered femoral stems.


Periprosthetic fracture Polished taper stem Total hip replacement 


Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

Human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.


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Copyright information

© Springer-Verlag France 2016

Authors and Affiliations

  1. 1.Royal Derby HospitalDerbyUK
  2. 2.West Suffolk HospitalBury St EdumundsUK

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