Less invasive stabilisation system (LISS) for the treatment of periprosthetic femoral fractures: A 3-year follow-up

Recent publications have reported encouraging results with a locked plating system in the management of periprosthetic femoral fractures. However, data on mid- or long-term functional outcome is not available. Here we report on the midterm functional outcome of 16 patients with a periprosthetic femoral fracture following total hip arthroplasty managed with the LISS-system at a 3-year follow-up. Functional outcome was measured using the Harris Hip score and the Karnofsky activity index. The Harris Hip score and the Karnofsky activity index averaged 79.5 points and 81 respectively. There were a total of two major complications due to screw pullout representing a complication rate of 13%. This series suggests that the management of periprosthetic femoral fractures with the LIS-System results in a good mid-term functional outcome. (C) 2007 Elsevier Ltd. Alt rights reserved.