Peri prosthetic Femur Fractures: Current Concepts and Management

摘要

Periprosthetic femur fractures are complex problems. Its incidence is reported to be increasing with the increasing number of total hip replacements. Treatment recommendations are based upon the fracture location and implant fixation stability. Despite improvements in fixation and surgical techniques, clinical outcome remains suboptimal. This review focuses on the discussion of periprosthetic femur fractures around a total hip replacement.Total hip replacement (THR) has evolved into one of the safest and the most clinically successful operations in orthopedic surgery. With improved designs and implant longevity, the indications for THR have expanded to more patients. These include younger and more active individuals. Moreover, with the improvement of overall medical care and health status, many middle-aged patients with THRs have also become increasingly active. Periprosthetic femur fractures can occur both during and after surgery. These are known complications of THRs. Management of these difficult fractures pose significant challenges to the surgeons.