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May 16, 2026Orthopaedic Proceedings

Open Reduction and Internal Fixation of Extremely Proximal Periprosthetic Fractures of the Hip

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Authors

GHGeorge J. HaidukewychUniversity of Central Florida

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Overview

Randomized trial evaluates surgical outcomes in elderly patients with hip fractures, suggesting high union rates but notable infection risks.

Key Points

  • This study aims to evaluate the outcomes and complications following open reduction and internal fixation of extremely proximal periprosthetic fractures.
  • Multi-center study conducted from 2008 to 2022 with 23 patients treated at two Level One Trauma Centers.
  • Mean patient age was 83 years with fractures managed through ORIF of stable well-fixed femoral components.
  • Patients were followed for a minimum of one year, examining rates of union and complications.
  • 100% (20 of 20) fractures united at follow-up.
  • Three surgical complications occurred, including three deep infections and one dislocation.
  • No instances of plate breakage or trochanteric escape were reported.

Cite This Study

George J. Haidukewych (2026) studied this question.

synapsesocial.com/papers/6a080a11a487c87a6a40be22https://doi.org/10.1302/1358-992x.2026.4.071
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Complications and Mortality of Open Reduction and Internal Fixation for Periprosthetic Femoral Fractures Around Cementless Femoral Stems: A Mid- to Long- Term Retrospective Cohort Study2026
  2. 2Open reduction and internal fixation in Vancouver Type B2 fractures - A retrospective single-center experience with a minimum follow-up of 6 months2025
  3. 3Nonunion of Intertrochanteric Fractures of the Femur Following Open Reduction and Internal1987 · 95 citations
  4. 4Effectiveness of open reduction internal fixation versus revision arthroplasty around Vancouver type B2 periprosthetic femoral fractures: a systematic review and meta-analysis2025 · 6 citations
  5. 5Fixation versus revision arthroplasty for Unified Classification System type B periprosthetic fractures around cemented polished tapered femoral components2025 · 4 citations