Challenge of the Week / Hip / 11.15.19

Which of the following accurately describes the treatment of a periprosthetic femoral fracture distal to a well-fixed femoral implant (Vancouver type C)?
  • It is important to avoid a stress riser by overlapping the plate with the femoral stem
  • This is the best method to avoid a stress riser in this situation

  • A strut should be used even when the bone stock is adequate
  • Struts are only necessary for inadequate bone stock

  • Revising the femoral stem is necessary to achieve fixation in the distal bone fragment
  • Stem revision is not necessary as long as it is well-fixed

  • Use of a retrograde intramedullary nail eliminates concern for a stress riser
  • A retrograde nail would actually help create a stress riser between the tip of the nail and the distal end of the femoral stem

One thought on “Challenge of the Week / Hip / 11.15.19

Leave a Reply

This site uses Akismet to reduce spam. Learn how your comment data is processed.