Therapeutic strategies for periprosthetic femoral fractures based on three classification systems

Journal of Joint Surgery and Research Pub Date : 2025-02-21 DOI:10.1016/j.jjoisr.2025.02.002

Tomonori Baba , Taiji Watari , Yasuhiro Homma , Kazuo Kaneko , Muneaki Ishijima

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Abstract

Purpose

The standardization of treatment strategies for periprosthetic femoral fractures is a critical objective for orthopedic surgeons. This review outlines detailed therapeutic approaches based on three classification systems: the Baba, AO/OTA, and Vancouver classifications.

Methods

This review examined implant stability assessment, internal fixation techniques, and revision strategies for hip function restoration in periprosthetic femoral fractures.

Results

The Baba classification objectively determines implant stability, guiding treatment selection. The AO/OTA classification assists in identifying the most appropriate internal fixation technique. The Vancouver classification informs the choice of reconstruction methods for revision surgery.

Conclusions

Management of periprosthetic femoral fractures necessitates specialized expertise in joint reconstruction while adhering to the fundamental principles of osteosynthesis to promote bony union.

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Journal of Joint Surgery and Research

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