Interprosthetic Femur Fractures: A Review Article.

JBJS Rev · Sep 01 2022 · Review

McMellen CJ, Romeo NM

MetroHealth Medical Center, Department of Orthopaedic Surgery, Case Western Reserve University School of Medicine, Ohio

Orthopaedic Trauma Adult Reconstruction

SUMMARY — THE REDUCTIONInterprosthetic femur fractures are increasingly common and carry high morbidity/mortality, with no consensus on optimal fixation strategy among plating, nailing, or revision arthroplasty.
Abstract, as published

➢: The prevalence of interprosthetic femur fractures (IFFs) is rising with the aging population and increased prevalence of total joint arthroplasty.

➢: IFFs have high rates of complications and high associated morbidity and mortality.

➢: The main treatment methods available for IFFs include plate fixation, intramedullary nailing, combined plate fixation and intramedullary nailing, and revision arthroplasty including partial and total femur replacement.

➢: There have been several proposed classification systems and at least 1 proposed treatment algorithm for IFFs; however, there is no consensus.

➢: Whichever treatment option is chosen, goals of surgery should include preservation of blood supply, restoration of length, alignment, rotation, and sufficient stabilization to allow for early mobilization.

Featured in the 2026-08-09 issue.

← Fracture Risk Assessment: An Update.Posterior-only versus combined anterior-posterior stabilizati… →

The Reduction is a free email digest of newly published orthopaedic literature — a handful of new papers in the subspecialties you choose, each summarized like this one. Subscribe free or browse the archive.