Management of periprosthetic femoral fracture after hip replacement (Vancouver b1): treating successfully using internal fixation

Abstract

Periprosthetic femoral fractures associated with hip arthroplasty pose a significant challenge to the orthopedic surgeon and are difficult to treat. The incidence of periprosthetic fracture is increasing steadily due to increase in 1. Number of cases 2. Incidence of replacement surgeries Periprosthetic fractures after hip arthroplasty pose a significant challenge to the orthopedic surgeon as the treatment still remains controversial. The difficulty in treatment is due to1. Age of the patient as most of the patients are of elderly age group.2. Absence of bone stock3. Presence of cement which hampers biological healing4. Presence of implant which pose difficulty in putting another implant and fixing these fractures. Most common classification used for these fractures is Vancouver classification which takes into consideration the quality of bone, stability of implant and site of fracture and are challenging task for surgeon to treat, as the treatment remains controversial, difficult fracture fixation and bilological healing is compromied.Here we have included only Vancouver B 1 fractures in our study.These fracture are becoming important now a days because of increase number of replacemnt surgeries occuring world-wide.