Instructional Course Lecture   |    
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Periprosthetic Fracture of the Femur after Total Hip Arthroplasty. Treatment and Results to Date*†
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An Instructional Course Lecture, The American Academy of Orthopaedic Surgeons
J Bone Joint Surg Am, 1997 Dec 01;79(12):1881-90
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Postoperative periprosthetic femoral fractures have become increasingly common during the last decade. A wide range of problems, such as comminution and bone loss, are seen in association with these fractures, and the additional challenge of a loose femoral component is commonly encountered. When a femoral fracture occurs in a patient in whom the femoral component is in place, reconstruction may be reasonably straightforward or it may be nearly impossible. Options for treatment have included the use of traction, casts, and external braces; operative reduction with internal fixation; numerous revision procedures involving insertion of a long-stem femoral component for stabilization of the fracture; and bone-grafting with use of either autogenous grafts or allografts1-3,5-12,19-24,35,36,38-42,45,49-51,55,56. These fractures must be treated according to their individual characteristics, the status of the implant, associated medical conditions, and the patient's level of physical activity2,11,23,35. Knowledge of the results in previously reported series and information regarding the range of treatment options can facilitate optimum decision-making with regard to these injuries.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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