Hybrid Fixation Technique for Femoral Stem Revision in B3 Periprosthetic Fractures: A Report of Two Cases Publisher



Akbari Javar M^{1, 2} ; Esmaeili S^{1, 2} ; Shokraneh S^{1, 2} ; Ghorbanzadeh M^{1, 2} ; Mortazavi SMJ^{1, 2}
Source: Arthroplasty Today Published:2025

Abstract

Periprosthetic femoral fractures (PPFs) are challenging complications following total hip arthroplasty, especially in cases with compromised bone stock. We present 2 cases of Vancouver Type B3 PPF treated with a monoblock cementless long-stem prosthesis, using cement only for distal fixation. This technique provided initial stability, allowing early mobilization and eventual fracture healing with bony ingrowth. Radiographic follow-up demonstrated successful outcomes with no significant complications. Our results support the potential of this method for treating complex PPF cases, offering a solution for patients with inadequate bone quality where standard cementless fixation may be insufficient. © 2025 The Authors