Interprosthetic femoral fractures: proposed new classification system and treatment algorithm

Abstract

Interprosthetic femoral fracture is a rare and challenging fragility fracture issue. Due to aging of the population, the incidence of this type of fracture is gradually and constantly increasing. There is no complete and specific interprosthetic femoral fracture classification system that indicates treatment and prognosis in the literature. The aim of the present study was to describe a new classification system for interprosthetic femoral fractures, and to present a case series and a treatment algorithm derived from the current evidence in the literature.

Keywords: Fracture; Fracture fixation; Hip fractures; Hip prosthesis; Hip replacement; Interprosthetic fractures; Knee prosthesis; Knee replacement; Osteoporotic fractures; Periprosthetic fractures.