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Updated: Aug 28, 2025
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Interprosthetic Femur Fractures: A Review Article
Christopher J McMellen1,2, Nicholas M Romeo1
1MetroHealth Medical Center, Department of Orthopaedic Surgery, Case Western Reserve University School of Medicine, Cleveland, Ohio.
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The prevalence of interprosthetic femur fractures (IFFs) is rising with the aging population and increased prevalence of total joint arthroplasty.
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IFFs have high rates of complications and high associated morbidity and mortality.
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The main treatment methods available for IFFs include plate fixation, intramedullary nailing, combined plate fixation and intramedullary nailing, and revision arthroplasty including partial and total femur replacement.
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There have been several proposed classification systems and at least 1 proposed treatment algorithm for IFFs; however, there is no consensus.
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Whichever treatment option is chosen, goals of surgery should include preservation of blood supply, restoration of length, alignment, rotation, and sufficient stabilization to allow for early mobilization.
