Table of Contents
Advances in Orthopedic Surgery
Volume 2014, Article ID 943512, 4 pages
Clinical Study

Achieving Construct Stability in Periprosthetic Femur Fracture Treatment

1Department of Orthopaedic Surgery and Sports Medicine, Harborview Medical Center, University of Washington, 325 Ninth Avenue, P.O. Box 359798, Seattle, WA 98104-2499, USA
2University of Mississippi Medical Center, Jackson, MS 39216, USA
3Rothman Institute, Philadelphia, PA 19107, USA
4University of California, Davis, CA 95616, USA
5Harborview Medical Center, University of Washington, Seattle, WA 98104, USA

Received 2 June 2014; Accepted 10 July 2014; Published 3 August 2014

Academic Editor: Palaniappan Lakshmanan

Copyright © 2014 Reza Firoozabadi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


One of the greatest challenges in treating patients with periprosthetic femoral fractures is achieving bone fixation in the presence of a well-fixed stem. Three techniques are described, which allow for improved fixation. A clinical series of fourteen patients with periprosthetic femur fractures that underwent open reduction internal fixation utilizing these techniques were reviewed. Thirteen patients had clinical and radiographic union. One patient required conversion to a revision total hip arthroplasty when it was noted that he had a loose prosthesis. Average time to radiographic union was 122 days. The described techniques allow surgeons to obtain multiple points of fixation around the prosthesis in an effective manner.