Successful Management of a Vancouver Type C Periprosthetic Femur Fracture in a Nonagenarian: Surgical Challenges and Review of Current Concepts

Periprosthetic femur fractures are complex and challenging to manage, especially in elderly patients. Vancouver Type C fractures, which occur distal to the femoral stem, pose significant surgical challenges due to the need for stable fixation in often osteoporotic bone. This article describes the management of a 91-year-old female with a Vancouver Type C periprosthetic femur fracture treated with open reduction and plating. A 91-year-old female presented with a periprosthetic femur fracture classified as Vancouver Type C. She underwent open reduction and internal fixation with plating. Despite her advanced age, significant comorbidities, and severe osteoporosis, she demonstrated good postoperative recovery, with bone healing observed at follow-up visits. Managing periprosthetic femur fractures in elderly patients requires careful surgical planning and consideration of the patient’s overall health and bone quality. This case highlights the feasibility and effectiveness of open reduction and plating in achieving satisfactory outcomes for Vancouver Type C fractures in very elderly patients.