title: The management of type B1 periprosthetic femoral fractures: when to fix and when to revise.
abstract: The incidence of periprosthetic fractures around total hip arthroplasty is increasing as patient longevity rises and the number of patients with hip implants continues to grow. Type B1 periprosthetic femoral fractures are associated with a well-fixed stem and have traditionally been treated with internal fixation. However, there are a subset of these fractures which fare badly when internal fixation is undertaken, and revision of the femoral component to a long-stemmed implant may be more appropriate. We look at the traditional methods of fixation, and the evidence and indications for revision of these fractures.
authors.affiliation: Department of Trauma and Orthopaedics, University College London Hospital, 235 Euston Road, London, NW1 2BU, UK, a.yasen@doctors.org.uk.
authors.forename: Adam T
authors.initials: AT
authors.lastname: Yasen
authors.forename: Fares S
authors.initials: FS
authors.lastname: Haddad
mesh_terms: D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects*; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000379:methods*; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D057068:Periprosthetic Fractures / Q000601:surgery*; D012086:Reoperation