Skip to main content
SpringerLink
Log in

Periprosthetic Femoral Fractures (PFFs)

  • Chapter
  • First Online:
The Adult Hip - Master Case Series and Techniques

  • 1064 Accesses

Abstract

The prevalence of femoral periprosthetic fractures is steadily increasing following the continuous rise of patients undergoing primary and revision THA [1, 2]. Periprosthetic fractures were the third most common reason for revision THA following aseptic loosening and dislocation in Sweden [3, 4]. In the vast majority of patients, these fractures present with minimal or even no history of trauma [1, 5, 6]. More than 85% of them result from low-energy trauma and only 15% from high-energy trauma [7, 8]. Mortality following periprosthetic fractures is high similar to hip fractures in some studies [2, 3]; more aggressive treatment of these with revision THA has been proposed to reduce mortality due to faster mobilization [8, 9].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  1. Marsland D, Mears SC. A review of periprosthetic femoral fractures associated with total hip arthroplasty. Geriatr Orthop Surg Rehabil. 2012;3:107–20.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Bhattacharyya T, Chang D, Meigs JB, et al. Mortality after periprosthetic fracture of the femur. J Bone Joint Surg Am. 2007;89:2658–62.

    Article  PubMed  Google Scholar 

  3. Lindahl H, Malchau H, Herberts P, et al. Periprosthetic femoral fractures classification and demographics of 1049 periprosthetic femoral fractures from the Swedish national hip arthroplasty register. J Arthroplasty. 2005;20:857–65.

    Article  PubMed  Google Scholar 

  4. Lindahl H, Malchau H, Odιn A, Garellick G. Risk factors for failure after treatment of a periprosthetic fracture of the femur. J Bone Joint Surg Br. 2006;88:26–30.

    Article  CAS  PubMed  Google Scholar 

  5. Pike J, Davidson D, Garbuz D, Duncan CP, O’Brien PJ, Masri BA. Principles of treatment for periprosthetic femoral shaft fractures around well-fixed total hip arthroplasty. J Am Acad Orthop Surg. 2009;17:677–88.

    Article  PubMed  Google Scholar 

  6. Masri BA, Meek RM, Duncan CP. Periprosthetic fractures evaluation and treatment. Clin Orthop Relat Res. 2004;420:80–95.

    Article  Google Scholar 

  7. Moreta J, Aguirre U, de Ugarte OS, et al. Functional and radiological outcome of periprosthetic femoral fractures after hip arthroplasty. Injury. 2015;46:292–8.

    Article  PubMed  Google Scholar 

  8. Fleischman AN, Chen AF. Periprosthetic fractures around the femoral stem: overcoming challenges and avoiding pitfalls. Ann Transl Med. 2015;3(16):234.

    PubMed  PubMed Central  Google Scholar 

  9. Langenhan R, Trobisch P, Ricart P, et al. Aggressive surgical treatment of periprosthetic femur fractures can reduce mortality: comparison of open reduction and internal fixation versus a modular prosthesis nail. J Orthop Trauma. 2012;26:80–5.

    Article  PubMed  Google Scholar 

  10. Tsiridis E, Pavlou G, Venkatesh R, Bobak P, Gie G. Periprosthetic femoral fractures around hip arthroplasty: current concepts in their management. Hip Int. 2009;19(2):75–86.

    Article  PubMed  Google Scholar 

  11. Sidler-Maier CC, Waddell JP. Incidence and predisposing factors of periprosthetic proximal femoral fractures: a literature review. Int Orthop. 2015;39:1673–82.

    Article  PubMed  Google Scholar 

  12. Berry DJ. Epidemiology: hip and knee. Orthop Clin North Am. 1999;30:183–90.

    Article  CAS  PubMed  Google Scholar 

  13. Shah RP, Sheth NP, Gray C, Alosh H, Garino JP. Periprosthetic fractures around loose femoral components. J Am Acad Orthop Surg. 2014;22:482–90.

    Article  PubMed  Google Scholar 

  14. Franklin J, Malchau H. Risk factors for periprosthetic femoral fracture. Injury. 2007;38:655–60.

    Article  PubMed  Google Scholar 

  15. Rayan F. Fares Haddad Periprosthetic femoral fractures in total hip arthroplasty – a review. Hip Int. 2010;20(04):418–26.

    Article  PubMed  Google Scholar 

  16. Brady OH, Garbuz DS, Masri BA, et al. The reliability and validity of the Vancouver classification of femoral fractures after hip replacement. J Arthroplasty. 2000;15:59–62.

    Article  CAS  PubMed  Google Scholar 

  17. Brady OH, Garbuz DS, Masri BA, Duncan CP. Classification of the hip. Orthop Clin North Am. 1999;30:215–20.

    Article  CAS  PubMed  Google Scholar 

  18. Naqvi GA, Baig SA, Awan N. Interobserver and intraobserver reliability and validity of the Vancouver classification system of periprosthetic femoral fractures after hip arthroplasty. J Arthroplasty. 2012;27:1047–50.

    Article  PubMed  Google Scholar 

  19. Rayan F, Dodd M, Haddad FS. European validation of the Vancouver classification of periprosthetic proximal femoral fractures. J Bone Joint Surg Br. 2008;90:1576–9.

    Article  CAS  PubMed  Google Scholar 

  20. Chevillotte CJ, Ali MH, Trousdale RT, et al. Inflammatory laboratory markers in periprosthetic hip fractures. J Arthroplasty. 2009;24:722–7.

    Article  PubMed  Google Scholar 

  21. Haidukewych GJ, Langford J, Liporace FA. Revision for periprosthetic fractures of the hip and knee. Instr Course Lect. 2013;62:333–40.

    PubMed  Google Scholar 

  22. Katzer A, Ince A, Wodtke J, et al. Component exchange in treatment of periprosthetic femoral fractures. J Arthroplasty. 2006;21:572–9.

    Article  PubMed  Google Scholar 

  23. Larson JE, Chao EY, Fitzgerald RH. Bypassing femoral cortical defects with cemented intramedullary stems. J Orthop Res. 1991;9:414–21.

    Article  CAS  PubMed  Google Scholar 

  24. Haddad FS, Duncan CP. Cortical onlay allograft struts in the treatment of periprosthetic femoral fractures. Instr Course Lect. 2003;52:291–300.

    PubMed  Google Scholar 

  25. Pritchett JW. Fracture of the greater trochanter after hip replacement. Clin Orthop Relat Res. 2001;390:221–6.

    Article  Google Scholar 

  26. Moazen M, Jones AC, Jin Z, et al. Periprosthetic fracture fixation of the femur following total hip arthroplasty: a review of biomechanical testing. Clin Biomech. 2011;26:13–22.

    Article  Google Scholar 

  27. Graham SM, Moazen M, Leonidou A, et al. Locking plate fixation for Vancouver B1 periprosthetic femoral fractures: a critical analysis of 135 cases. J Orthop Sci. 2013;18:426–36.

    Article  PubMed  Google Scholar 

  28. Moloney GB, Westrick ER, Siska PA, et al. Treatment of periprosthetic femur fractures around a well-fixed hip arthroplasty implant: span the whole bone. Arch Orthop Trauma Surg. 2014;134:9–14.

    Article  PubMed  Google Scholar 

  29. Lever JP, Zdero R, Nousiainen MT, et al. The biomechanical analysis of three plating fixation systems for periprosthetic femoral fracture near the tip of a total hip arthroplasty. J Orthop Surg Res. 2010;5:45.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Shah N, McCabe J. Dall-Miles cable and plate system for periprosthetic femoral fracture. Eur J Orthop Surg Traumatol. 2002;12:137–9.

    Article  CAS  PubMed  Google Scholar 

  31. Beals RK, Tower SS. Periprosthetic fractures of the femur. An analysis of 93 fractures. Clin Orthop Relat Res. 1996;327:238–46.

    Article  Google Scholar 

  32. Sandhu R, Avramidis K, Johnson-Nurse C. Dall-Miles cable and plate fixation system in the treatment of periprosthetic femoral fractures: a review of 20 cases. J Orthop Surg. 2005;13:259–66.

    Article  CAS  Google Scholar 

  33. Spina M, Rocca G, Canella A, et al. Causes of failure in periprosthetic fractures of the hip at 1- to 14-year followup. Injury. 2014;45(Suppl 6):S85–92.

    Article  PubMed  Google Scholar 

  34. Tadross TS, Nanu AM, Buchanan MJ, et al. Dall-Miles plating for periprosthetic B1 fractures of the femur. J Arthroplasty. 2000;15:47–51.

    Article  CAS  PubMed  Google Scholar 

  35. Tsiridis E, Haddad FS, Gie GA. Dall-Miles plates for periprosthetic femoral fractures. A critical review of 16 cases. Injury. 2003;34:107–10.

    Article  PubMed  Google Scholar 

  36. Venu KM, Koka R, Garikipati R, et al. Dall-Miles cable and plate fixation for the treatment of peri-prosthetic femoral fractures-analysis of results in 13 cases. Injury. 2001;32:395–400.

    Article  CAS  PubMed  Google Scholar 

  37. Dargan D, Jenkinson MJ, Acton JD. A retrospective review of the Dall-Miles plate for periprosthetic femoral fractures: twenty-seven cases and a review of the literature. Injury. 2014;45:1958–63.

    Article  PubMed  Google Scholar 

  38. Ricci WM. Periprosthetic femur fractures. J Orthop Trauma. 2015;29:130–7.

    Article  PubMed  Google Scholar 

  39. Bryant GK, Morshed S, Agel J, et al. Isolated locked compression plating for Vancouver type B1 periprosthetic femoral fractures. Injury. 2009;40:1180–6.

    Article  PubMed  Google Scholar 

  40. Chakravarthy J, Bansal R, Cooper J. Locking plate osteosynthesis for Vancouver type B1 and type C periprosthetic fractures of femur: a report on 12 patients. Injury. 2007;38:725–33.

    Article  PubMed  Google Scholar 

  41. Ebraheim NA, Gomez C, Ramineni SK, et al. Fixation of periprosthetic femoral shaft fractures adjacent to a wellfixed femoral stem with reversed distal femoral locking plate. J Trauma. 2009;66:1152–7.

    Article  PubMed  Google Scholar 

  42. Froberg L, Troelsen A, Brix M. Periprosthetic Vancouver type B1 and C fractures treated by locking-plate osteosynthesis: fracture union and reoperations in 60 consecutive fractures. Acta Orthop. 2012;83:648–52.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Xue H, Tu Y, Cai M, et al. Locking compression plate and cerclage band for type B1 periprosthetic femoral fractures preliminary results at average 30-month follow-up. J Arthroplasty. 2011;26:467–71.e1.

    Article  PubMed  Google Scholar 

  44. Buttaro MA, Farfalli G, Paredes Núñez M, et al. Locking compression plate fixation of Vancouver type-B1 periprosthetic femoral fractures. J Bone Joint Surg Am. 2007;89:1964–9.

    PubMed  CAS  Google Scholar 

  45. Müller M, Kääb M, Tohtz S, et al. Periprosthetic femoral fractures: outcome after treatment with LISS internal fixation or stem replacement in 36 patients. Acta Orthop Belg. 2009;75:776–83.

    PubMed  Google Scholar 

  46. Laurer HL, Wutzler S, Possner S, et al. Outcome after operative treatment of Vancouver type B1 and C periprosthetic femoral fractures: open reduction and internal fixation versus revision arthroplasty. Arch Orthop Trauma Surg. 2011;131:983–9.

    Article  PubMed  Google Scholar 

  47. Kobbe P, Klemm R, Reilmann H, et al. Less invasive stabilisation system (LISS) for the treatment of periprosthetic femoral fractures: a 3-year follow-up. Injury. 2008;39:472–9.

    Article  PubMed  Google Scholar 

  48. Füchtmeier B, Galler M, Müller F. Mid-term results of 121 periprosthetic femoral fractures: increased failure and mortality within but not after one postoperative year. J Arthroplasty. 2015;30:669–74.

    Article  PubMed  Google Scholar 

  49. White RR. Fixation of periprosthetic femur fractures around total hip implants without the use of cables or struts. Tech Orthop. 2013;28:218–24.

    Article  Google Scholar 

  50. Dehghan N, McKee MD, Nauth A, et al. Surgical fixation of Vancouver type B1 periprosthetic femur fractures: a systematic review. J Orthop Trauma. 2014;28:721–7.

    Article  PubMed  Google Scholar 

  51. Meiners J, Faschingbauer M, Voigt C, et al. Polyaxial locked implants in the treatment of type vancouver B1 periprosthetic fractures of the femur: retrospective clinical examination in 58 cases with review of the literature. Eur J Trauma Emerg Surg. 2010;36:53–9.

    Article  PubMed  Google Scholar 

  52. Sen R, Prasad P, Kumar S, Nagi O. Periprosthetic femoral fractures around well fixed implants: a simple method of fixation using LC-DCP with trochanteric purchase. Acta Orthop Belg. 2007;73:200–6.

    PubMed  Google Scholar 

  53. Ricci WM, Bolhofner BR, Loftus T, Cox C, Mitchell S, Borrelli J Jr. Indirect reduction and plate fixation, without grafting, for periprosthetic femoral shaft fractures about a stable intramedullary implant. J Bone Joint Surg Am. 2005;87:2240–5.

    PubMed  Google Scholar 

  54. Mukundan C, Rayan F, Kheir E, et al. Management of late periprosthetic femur fractures: a retrospective cohort of 72 patients. Int Orthop. 2010;34:485–9.

    Article  PubMed  Google Scholar 

  55. Tsiridis E, Narvani AA, Timperley JA, Gie GA. Dynamic compression plates for Vancouver type B periprosthetic femoral fractures: a 3-year follow-up of 18 cases. Acta Orthop. 2005;76:531–7.

    Article  PubMed  Google Scholar 

  56. Haddad FS, Duncan CP, Berry DJ, Lewallen DG, Gross AE, Chandler HP. Periprosthetic femoral fractures around well-fixed implants: use of cortical onlay allografts with or without a plate. J Bone Joint Surg Am. 2002;84:945–50.

    Article  PubMed  Google Scholar 

  57. Head WC, Malinin TI. Results of onlay allografts. Clin Orthop Relat Res. 2000;371:108–12.

    Article  Google Scholar 

  58. Emerson RHJ. Basic science of onlay allografts: a review. Instr Course Lect. 2000;49:97–102.

    PubMed  Google Scholar 

  59. Pak JH, Paprosky WG, Jablonsky WS, et al. Femoral strut allografts in cementless revision total hip arthroplasty. Clin Orthop Relat Res. 1993;295:172–8.

    Google Scholar 

  60. Tsiridis E, Spence G, Gamie Z, et al. Grafting for periprosthetic femoral fractures: strut, impaction or femoral replacement. Injury. 2007;38:688–97.

    Article  PubMed  Google Scholar 

  61. Moore RE, Baldwin K, Austin MS, et al. A systematic review of open reduction and internal fixation of periprosthetic femur fractures with or without allograft strut, cerclage, and locked plates. J Arthroplasty. 2014;29:872–6.

    Article  PubMed  Google Scholar 

  62. Weeden SH, Paprosky WG. Minimal 11-year follow-up of extensively porous-coated stems in femoral revision total hip arthroplasty. J Arthroplasty. 2002;17(4 Suppl 1):134–7.

    Article  PubMed  Google Scholar 

  63. García-Rey E, García-Cimbrelo E, Cruz-Pardos A, Madero R. Increase of cortical bone after a cementless long stem in periprosthetic fractures. Clin Orthop Relat Res. 2013;471(12):3912–21.

    Article  PubMed  PubMed Central  Google Scholar 

  64. OνShea K, Quinlan JF, Kutty S, et al. The use of uncemented extensively porous-coated femoral components in the management of Vancouver type B2 and B3 periprosthetic femoral fractures. J Bone Joint Surg Br. 2005;87(12):1617–21.

    Google Scholar 

  65. Munro JT, Garbuz DS, Masri BA, Duncan CP. Tapered fluted titanium stems in the management of Vancouver B2 and B3 periprosthetic femoral fractures. Clin Orthop Relat Res. 2014;472(2):590–8.

    Article  PubMed  Google Scholar 

  66. Mulay S, Hassan T, Birtwistle S, et al. Management of types B2 and B3 femoral periprosthetic fractures by a tapered, fluted and distally fixed stem. J Arthroplasty. 2005;20(6):751–6.

    Article  PubMed  Google Scholar 

  67. Abdel MP, Lewallen DG, Berry DJ. Periprosthetic femur fractures treated with modular fluted, tapered stems. Clin Orthop Relat Res. 2014;472(2):599–603.

    Article  PubMed  Google Scholar 

  68. Srinivasan A, Jung E, Levine BR. Modularity of the femoral component in total hip arthroplasty. J Am Acad Orthop Surg. 2012;20(4):214–22.

    Article  PubMed  Google Scholar 

  69. Briant-Evans TW, Veeramootoo D, Tsiridis E, Hubble MJW. Cement-in-cement stem revision for Vancouver type B peri-prosthetic femoral fractures after total hip arthroplasty. 3 year follow up of 23 cases. Acta Orthop. 2009;80(5):548–52.

    Article  PubMed  PubMed Central  Google Scholar 

  70. Holt G, Hook S, Hubble M. Revision total hip arthroplasty: the femoral side using cemented implants. Int Orthop. 2011;35:267–73.

    Article  PubMed  Google Scholar 

  71. Berry DJ. Treatment of Vancouver B3 periprosthetic femur fractures with a fluted tapered stem. Clin Orthop Relat Res. 2003;417:224–31.

    Google Scholar 

  72. Levine BR, Della Valle CJ, Lewis P, Berger RA, Sporer SM, Paprosky W. Extended trochanteric osteotomy for the treatment of vancouver B2/B3 periprosthetic fractures of the femur. J Arthroplasty. 2008;23(4):527–33.

    Article  PubMed  Google Scholar 

  73. Lee GC, Nelson CL, Virmani S, Manikonda K, Israelite CL, Garino JP. Management of periprosthetic femur fractures with severe bone loss using impaction bone grafting technique. J Arthroplasty. 2010;25(3):405–9.

    Article  PubMed  Google Scholar 

  74. Maury AC, Pressman A, Cayen B, Zalzal P, Backstein D, Gross A. Proximal femoral allograft treatment of Vancouver type-B3 periprosthetic femoral fractures after total hip arthroplasty. J Bone Joint Surg Am. 2006;88(5):953–8.

    Article  PubMed  Google Scholar 

  75. Haddad FS, Garbuz DS, Masri BA, Duncan CP. Structural proximal femoral allografts for failed total hip replacements: a minimum review of five years. J Bone Joint Surg Br. 2000;82(6):830–6.

    Article  CAS  PubMed  Google Scholar 

  76. McLean AL, Patton JT, Moran M. Femoral replacement for salvage of Periprosthetic fracture around a total hip replacement. Injury. 2012;43(7):1166–9.

    Article  PubMed  Google Scholar 

  77. Abdel MP, Cottino U, Mabry TM. Management of periprosthetic femoral fractures following total hip arthroplasty: a review. Int Orthop. 2015;39:2005–10.

    Article  PubMed  Google Scholar 

  78. Corten K, Vanrykel F, Bellemans J, Frederix PR, Simon JP, Broos PL. An algorithm for the surgical treatment of periprosthetic fractures of the femur around a well-fixed femoral component. J Bone Joint Surg Br. 2009;91:1424–30.

    Article  CAS  PubMed  Google Scholar 

  79. Youssef B, Pavlou G, Shah N, Macheras G, Tsiridis E. Impaction bone grafting for periprosthetic fractures around a total hip arthroplasty. Injury. 2014;45(11):1674–80. https://doi.org/10.1016/j.injury.2014.07.028. Epub 2014 Aug 15. Review

    Article  PubMed  Google Scholar 

  80. Te Stroet MA, Bronsema E, Rijnen WH, Gardeniers JW, Schreurs BW. The use of a long stem cemented femoral component in revision total hip replacement: a follow-up study of five to 16 years. Bone Joint J. 2014;96-B(9):1207–13. https://doi.org/10.1302/0301-620X.96B9.33304.

    Article  Google Scholar 

  81. Dearden PM, Bobak PP, Giannoudis PV. Impaction bone grafting and cemented stem revision in periprosthetic hip fractures: a novel surgical technique. Hip Int. 2014;24(2):210–2.

    Article  PubMed  Google Scholar 

  82. Mitchell PA, Greidanus NV, Masri BA, Garbuz DS, Duncan CP. The prevention of periprosthetic fractures of the femur during and after total hip arthroplasty. Instr Course Lect. 2003;52:301–8. Review

    PubMed  Google Scholar 

  83. Vaishya R, Swami S, Vijay V, Vaish A. Bilateral total hip arthroplasty in a young man with hereditary multiple exostoses. BMJ Case Rep. 2015;2015. pii: bcr2014207853. https://doi.org/10.1136/bcr-2014-207.853.

    Google Scholar 

  84. Bonnin MP, Neto CC, Aitsiselmi T, Murphy CG, Bossard N, Roche S. Increased incidence of femoral fractures in small femurs and women undergoing uncemented total hip arthroplasty - why? Bone Joint J. 2015;97-B(6):741–8. https://doi.org/10.1302/0301-620X.97B6.35022.033.052.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Academic Orthopaedic Unit, Aristotle University Medical School, Thessaloniki, Greece

    Eustathios Kenanidis M.D., Ph.D., M.Sc.

  2. Papageorgiou General Hospital, Pavlos Melas, Greece

    Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.

  3. Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.

  4. Jessenius Faculty of Medicine, Comenius University in Bratislava, Martin, Slovakia

    Libor Nečas M.D., Ph.D. & Marek Rovňák M.D.

  5. Slovac Republic and Orthopaedic Clinic, University Hospital Martin, Martin, Slovakia

    Libor Nečas M.D., Ph.D. & Marek Rovňák M.D.

  6. Hospital Italiano de Buenos Aires, Buenos Aires, Argentina

    Martin Buttaro M.D.

  7. University of California Irvine, Orange, CA, USA

    John A. Scolaro M.D.

  8. Department of Orthopaedic Surgery, NYU Langone Health Orthopaedic Hospital, Hospital for Joint Diseases, New York, NY, USA

    Ran Schwarzkopf M.D., M.Sc.

  9. Mayo Clinic, Rochester, MN, USA

    Joseph M. Statz M.D., Cameron K. Ledford M.D. & Robert T. Trousdale M.D.

Authors
  1. Eustathios Kenanidis M.D., Ph.D., M.Sc.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Libor Nečas M.D., Ph.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Marek Rovňák M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Martin Buttaro M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. John A. Scolaro M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Ran Schwarzkopf M.D., M.Sc.
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Joseph M. Statz M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Cameron K. Ledford M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Robert T. Trousdale M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding authors

Correspondence to Eustathios Kenanidis M.D., Ph.D., M.Sc. , Eleftherios Tsiridis M.D., Ph.D., F.A.C.S., F.R.C.S. , E. Kenanidis MD, MSc, PhD , Libor Nečas , Martin Buttaro , Ran Schwarzkopf M.D., M.Sc. or Cameron K. Ledford M.D. .

Editor information

Editors and Affiliations

  1. Aristotle University Medical School, Thessaloniki, Greece

    Eleftherios Tsiridis

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Cite this chapter

Kenanidis, E. et al. (2018). Periprosthetic Femoral Fractures (PFFs). In: Tsiridis, E. (eds) The Adult Hip - Master Case Series and Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-64177-5_39

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-64177-5_39

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-64175-1

  • Online ISBN: 978-3-319-64177-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation