Related Experiment Video
Updated: Apr 26, 2026
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Periprosthetic fractures around loose femoral components
Insights
Periprosthetic fractures around loose hip implants are rising. Femoral revision with long-stem or modular tapered stems offers good outcomes for these complex fractures.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
Background:
- Total hip arthroplasty (THA) is increasingly common in aging and younger populations.
- Periprosthetic fractures around loose femoral components are a significant complication of THA.
- The incidence of these fractures is rising.
Purpose of the Study:
- To review the epidemiology, risk factors, prevention, and clinical management of periprosthetic femoral fractures.
- To discuss treatment principles, reconstructive options, outcomes, and complications.
Main Methods:
- Literature review of periprosthetic femoral fractures.
- Analysis of treatment strategies and outcomes.
Main Results:
- Femoral revision using long-stem prostheses or modular tapered stems is a primary treatment approach.
- This approach demonstrates favorable outcomes in published literature.
- Alternative reconstruction options exist based on bone quality.
Conclusions:
- Effective management requires a thorough understanding of diagnosis and treatment.
- Surgical expertise is crucial for successful outcomes in periprosthetic femoral fractures.
Abstract:
The development of periprosthetic fractures around loose femoral components can be a devastating event for patients who have undergone total hip arthroplasty (THA). As indications for THA expand in an aging population and to use in younger patients, these fractures are increasing in incidence. This review covers the epidemiology, risk factors, prevention, and clinical management of periprosthetic femoral fractures. Treatment principles and reconstructive options are discussed, along with outcomes and complications. Femoral revision with a long-stem prosthesis or a modular tapered stem is the mainstay of treatment and has demonstrated good outcomes in the literature. Other reconstruction options are available, depending on bone quality. Surgeons must have a sound understanding of the diagnosis and treatment of periprosthetic femoral fractures.
Related Concept Videos
01:16Bones of the Lower Limb: Femur and Patella
01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...