Ries Christian, Bäthis Holger, Kirschner Stephan, Gerhardt Patrick, Goedecke Eva, Rolvien Tim, Beil Frank Timo
Klinik für Unfallchirurgie und Orthopädie, Lehrstuhl für Orthopädie, Universitätsklinikum Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Deutschland.
AE-Komitee "Frakturendoprothetik und periprothetische Frakturen", Deutsche Gesellschaft für Endoprothetik (AE), Freiburg, Deutschland.
Orthopadie (Heidelb). 2025 Oct;54(10):815-824. doi: 10.1007/s00132-025-04686-9. Epub 2025 Jul 29.
Due to demographic changes, a further increase in the number of arthroplasty procedures can be anticipated. As has been observed in recent years, a further increase in periprosthetic fractures is to be expected. An interprosthetic femoral fracture is a serious complication in cases of ipsilateral hip and knee endoprostheses. Although the incidence of interprosthetic fractures is low, fracture management can be highly demanding. In addition to the remaining implant stability, bone quality and comorbidities must also be taken into account in the decision-making process of fracture treatment. The surgeon's expertise in various osteosynthesis procedures and revision arthroplasty techniques appears to be indispensable. Taking into account various patient-specific factors, the following article provides an overview of the surgical treatment options for interprosthetic fractures.