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The Journal of Bone and Joint Surgery 79:1881-90 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Instructional Course Lecture

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Periprosthetic Fracture of the Femur after Total Hip Arthroplasty. Treatment and Results to Date*{dagger}

DAVID G. LEWALLEN, M.D.{ddagger} and DANIEL J. BERRY, M.D.{ddagger}, ROCHESTER, MINNESOTA

An Instructional Course Lecture, The American Academy of Orthopaedic Surgeons


   Introduction
 
Postoperative periprosthetic femoral fractures have become increasingly common during the last decade. A wide range of problems, such as comminution and bone loss, are seen in association with these fractures, and the additional challenge of a loose femoral component is commonly encountered. When a femoral fracture occurs in a patient in whom the femoral component is in place, reconstruction may be reasonably straightforward or it may be nearly impossible. Options for treatment have included the use of traction, casts, and external braces; operative reduction with internal fixation; numerous revision procedures involving insertion of a long-stem femoral component for stabilization of the fracture; and bone-grafting with use of either autogenous grafts or allografts1-3,5-12,19-24,35,36,38-42,45,49-51,55,56. These fractures must be treated according to their individual characteristics, the status of the implant, associated medical conditions, and the patient's level of physical activity2,11,23,35. Knowledge of the results in previously reported series and information regarding . . . [Full Text of this Article]


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