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