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A periprosthetic fracture occurs in a bone around or near a prosthetic implant. Given the increasing number of prostheses fitted, its incidence is constantly increasing. There are several risk factors, some of which are related to the patient and others to the implant. The key points of the diagnosis are the history and the radiological assessment, since they will make it possible to distinguish between an implant still fixed and a loosened implant. This distinction is essential for treatment, which may be conservative treatment, osteosynthesis, or prosthesis replacement, depending on the general condition of the patient and the local status. The aim of this study is to evaluate the results of the different methods, propose indications according to criteria linked to the terrain, the type and the Location of the fracture and the state of the prosthetic fixation at the time of the fracture.
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Pedro et al. (2024) studied this question.
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