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Updated: Jun 28, 2025

Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
Published on: December 3, 2017
What's New in Periprosthetic Femur Fractures?
Elizabeth B Gausden1, Nicholas A Bedard2, Jeremy M Gililland3
1Department of Orthopedic Surgery, Hospital for Special Surgery, New York, New York.
Background:
Periprosthetic femur fracture (PFF) is one of the most common indications for reoperation following total hip arthroplasty.
Methods/Results:
This article provides a review of a symposium on PFF that was presented at the American Association of Hip and Knee Surgeons 2023 annual meeting, including an overview of the Vancouver classification and its implications on treatment and subsequent complications, an updated approach to the management of intraoperative fractures, and finally, contemporary strategies for both osteosynthesis as well as revision arthroplasty for PFFs.
Conclusion:
As the incidence of PPF continues to increase, arthroplasty and trauma surgeons must be prepared to address this challenging complication with a contemporary understanding of the treatment options and their outcomes.

