Surgical treatment strategies for interprosthetic femoral fractures

Due to demographic changes, a further increase in the number of arthroplasty procedures can be anticipated. As has been observed in recent years, a further increase in periprosthetic fractures is to be expected. An interprosthetic femoral fracture is a serious complication in cases of ipsilateral hip and knee endoprostheses. Although the incidence of interprosthetic fractures is low, fracture management can be highly demanding. In addition to the remaining implant stability, bone quality and comorbidities must also be taken into account in the decision-making process of fracture treatment. The surgeon's expertise in various osteosynthesis procedures and revision arthroplasty techniques appears to be indispensable. Taking into account various patient-specific factors, the following article provides an overview of the surgical treatment options for interprosthetic fractures.