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EFORT Open Reviews 2020 5:9, 558-567
Hip
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Postoperative periprosthetic femoral fracture around total hip replacements: current concepts and clinical outcomes
Ashoklal Ramavath, Jonathan N. Lamb, Jeya Palan, Hemant G. Pandit, and Sameer JainHip
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The rising incidence of postoperative periprosthetic femoral fracture (PFF) presents a significant clinical and economic burden.
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A detailed understanding of risk factors is required in order to guide preventative strategies.
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Different femoral stems have unique characteristics and management strategies must be tailored appropriately.
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Consensus regarding treatment of PFFs around well-fixed stems is lacking, but revision surgery may provide more predictable outcomes for unstable fracture patterns and fractures around polished taper-slip stems.
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Future research should focus on implant-related risk factors, treatment of concurrent metabolic bone disease and the use of large endoprostheses.
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