title: Periprosthetic fractures around loose femoral components.
abstract: The development of periprosthetic fractures around loose femoral components can be a devastating event for patients who have undergone total hip arthroplasty (THA). As indications for THA expand in an aging population and to use in younger patients, these fractures are increasing in incidence. This review covers the epidemiology, risk factors, prevention, and clinical management of periprosthetic femoral fractures. Treatment principles and reconstructive options are discussed, along with outcomes and complications. Femoral revision with a long-stem prosthesis or a modular tapered stem is the mainstay of treatment and has demonstrated good outcomes in the literature. Other reconstruction options are available, depending on bone quality. Surgeons must have a sound understanding of the diagnosis and treatment of periprosthetic femoral fractures.
authors: Roshan P
authors: RP
authors: Shah
authors: Neil P
authors: NP
authors: Sheth
authors: Chancellor
authors: C
authors: Gray
authors: Hassan
authors: H
authors: Alosh
authors: Jonathan P
authors: JP
authors: Garino
mesh_terms: D019644:Arthroplasty, Replacement, Hip; D019317:Evidence-Based Medicine; D005264:Femoral Fractures / Q000453:epidemiology / Q000517:prevention & control / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000379:methods*; D006622:Hip Prosthesis; D006801:Humans; D015994:Incidence; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control / Q000601:surgery*; D011475:Prosthesis Failure; D012086:Reoperation; D012307:Risk Factors