- Combination of fractured bone with an existing prosthesis makes these fractures challenging
- Mortality rate within one year following surgical treatment of periprosthetic femoral fractures is high
- If the Stem/component loose then revision of the component, with adjunctive stabilization of the fracture with a plate or allograft/plate composite is required.
- If the Stem/component well fixed then the component should be retained and the fracture stabilized with a plate that is augmented with cables and/or allograft support around the stem
- Locking plates do not appear to provide better mechanical solutions
- Significant bone loss associated with periprosthetic femoral fracture, endoprosthetic proximal femoral replacement is a viable solution
