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



Akbari Javar M1, 2 ; Esmaeili S1, 2 ; Shokraneh S1, 2 ; Ghorbanzadeh M1, 2 ; Mortazavi SMJ1, 2
Authors
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Authors Affiliations
  1. 1. Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Orthopedic Surgery, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran

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