Abstract
Between 2002 and 2009, 15 patients with periprosthetic fractures of the femur and the acetabulum either intraoperative or perioperative fracures were treated.
The intraoperative femoral fracture was treated by circulage and longer stems with excellent results, the postoperative femoral fracture was treated by cable plate systems or revision arthroplasty without the use of cortical strut allograft, all the cases are treated according to Vancouver classification.
There are tow cases of intraoperative acetabular fractures, the first one was treated by block autograft and cemented cup, the other one treated by multihole cementless cup as internal plating.
The postoperative acetabular fractures are spontaneous fractures due to osteolysis and treated by impaction or allograftwith metal support either by rings or meshes.
