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Article 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.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11919329PMC
http://dx.doi.org/10.1016/j.artd.2025.101645DOI Listing

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