168 Interprosthetic Fractures of The Femur: A Literature Review

Abstract Increasing age expectations and number of joint replacement procedures have made interprosthetic femoral fractures (IFF) a progressively more common diagnosis challenge for surgeons. A gold standard universally accepted classifications guidelines do not exist yet. Customized structured electronic searches performed in PubMed database. Relevant key terms: IFF, classification fracture, peri-implant biomechanics femur radiographic risk factor IFF. 42 articles finally included (up to 2019). High morbidity mortality linked Standardised classifications, management surgical approaches are available Periprosthetic systems still utilized even if entirely appropriate. rate failure is related thinner cortical bone, larger medullary canals variable stresses depending on the distance among implants. complication rates all studies. Stress risers implant stability based fracture patterns stress forces. Several options with no uniformity. Less invasive associated reduction metalwork rate, better preservation vascularization functional-clinical outcomes. Lack specific guidelines. uniformity results. Attention bone stock aspects