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Method and Instrumented Fixture for Femoral Fracture Testing in a Sideways Fall-on-the-Hip Position
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Interprosthetic Femur Fractures: A Multi-Center Retrospective Study.

Samuel Landoch1, Jeffrey A Foster2, Lisa K Cannada3

  • 1University of Kentucky, Department of Orthopaedic Surgery and Sports Medicine.

Journal of Orthopaedic Trauma
|May 7, 2025
PubMed
Summary
This summary is machine-generated.

Dual fixation, particularly intramedullary nail/plate combinations, improved return to baseline ambulation for interprosthetic femur fractures (IFFs). Higher comorbidity burden increased mortality risk in these patients.

Keywords:
interprosthetic femur fracturemortalityperiprostheticrevisionunion

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Biomedical Engineering

Background:

  • Interprosthetic femur fractures (IFFs) present complex treatment challenges.
  • Identifying optimal fixation strategies is crucial for improving patient outcomes.

Purpose of the Study:

  • To identify current practices for treating interprosthetic femur fractures (IFFs).
  • To determine factors influencing positive patient outcomes, including union rates, complications, and ambulation status.

Main Methods:

  • Retrospective cohort study involving 139 patients aged 50-90 years across 15 US trauma centers.
  • Analysis of fixation methods (lateral plate, nail-plate, dual plates) and their association with outcomes.
  • Statistical analysis including Chi-square tests, Fisher's exact tests, and ANOVA.

Main Results:

  • Lateral plating was the most common fixation (85%).
  • Dual plate fixation, especially nail-plate combinations, showed faster time to full weight-bearing and higher rates of return to baseline ambulation.
  • Overall mortality was 13%, associated with comorbidities.

Conclusions:

  • Spanning lateral plates are frequently used for IFFs.
  • Dual fixation techniques, particularly intramedullary nail/plate, enhance functional recovery.
  • Comorbidity burden is a significant predictor of mortality in IFF patients.