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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.
JBJS Reviews
|September 22, 2022
Summary
Interprosthetic femur fractures (IFFs) are increasing, posing significant risks. Current treatment lacks consensus, emphasizing surgical goals like stability and early mobilization for better patient outcomes.
Area of Science:
- Orthopedic surgery
- Biomedical engineering
Background:
- Rising prevalence of interprosthetic femur fractures (IFFs) linked to aging populations and increased joint arthroplasty.
- IFFs are associated with substantial complication rates, morbidity, and mortality.
Purpose of the Study:
- To review current treatment modalities for IFFs.
- To highlight the lack of consensus on classification and treatment algorithms for IFFs.
- To emphasize essential surgical goals for managing IFFs.
Main Methods:
- Review of existing literature on interprosthetic femur fracture treatment.
- Analysis of common surgical interventions: plate fixation, intramedullary nailing, revision arthroplasty.
- Examination of proposed classification systems and treatment algorithms.
Main Results:
- Multiple treatment options exist for IFFs, including fixation and revision arthroplasty.
- No universally accepted classification or treatment algorithm for IFFs has been established.
- Surgical success hinges on preserving blood supply, restoring biomechanics, and enabling early mobilization.
Conclusions:
- Effective management of IFFs requires careful consideration of available surgical techniques.
- Standardization of classification and treatment protocols is needed for IFFs.
- Achieving optimal outcomes in IFFs necessitates prioritizing anatomical restoration and functional recovery.
