Locking Compression Plate and Cerclage Band for Type B1 Periprosthetic Femoral Fractures Preliminary Results at Average 30-Month Follow-Up

We present results of 12 type B1 periprosthetic femoral fractures treated with locking compression plate and cerclage band from January 2003 to June 2007. The average follow-up was 30.1 months. Twelve fractures united in an average period of 4.8 months. The mean Harris hip score was 84.4. One patient presented with loosening of proximal screws at 5 months. This patient was treated nonoperatively as she had radiographic evidence of fracture union. One patient with delayed union required 9 months to heal. Unfortunately, 1 month later, she sustained a type C fracture during a slipping injury and treated with cast immobilization. The fracture united after 4 months. None had complications of loss of reduction, plate break, and wound infection.