Management of Vancouver Type-B2 and B3 Periprosthetic Femoral Fractures: Restoring Femoral Length via Preoperative Planning and Surgical Execution Using a Cementless, Tapered, Fluted Stem.

Introduction: Periprosthetic femoral fractures, which are likely to increase as the population ages and total hip arthroplasty becomes more prevalent1 , can be effectively managed by restoring femoral length via preoperative planning and surgical execution using a cementless, tapered, fluted stem.

Indications & Contraindications: Template the contralateral, uninjured side.

Step 2 Template the Fractured Side: Identify the ideal COR on the injured side and template the femoral stem.

Step 3 Establish Depth of Reaming: Use stem templates to establish a reference point on the reamer for use intraoperatively, and identify the distance from that point to an identifiable distal landmark.

Results: We report on 14 (12 Vancouver type-B2 and 2 Vancouver type-B3) periprosthetic femoral fractures treated with the described method15 .