{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T10:22:17Z","timestamp":1780395737988,"version":"3.54.1"},"reference-count":192,"publisher":"Bioscientifica","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["eor.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"\n \n \n Periprosthetic femur fractures most often occur in elderly, frail patients and represent a devastating injury with high rates of morbidity and mortality even with appropriate surgical management.<\/jats:p>\n <\/jats:list-item>\n \n Hip arthroplasties with cemented femoral fixation have a decreased risk of periprosthetic fracture relative to cementless designs, especially when composite beam stems are used compared to polished, taper-slip stems.<\/jats:p>\n <\/jats:list-item>\n \n Early mobilization is the primary goal of treatment for periprosthetic femur fractures, which can be achieved either through open reduction internal fixation or through revision arthroplasty.<\/jats:p>\n <\/jats:list-item>\n \n Where the pattern is reconstructable, such as in most B1 patterns and some B2 fractures around polished, taper-slip stems, open reduction internal fixation of fractures around cemented stems has been associated with decreased perioperative complications compared to revision arthroplasty.<\/jats:p>\n <\/jats:list-item>\n \n In the setting of a compromised bone\u2013cement interface, inadequate metaphyseal bone stock, or implant breakage, revision arthroplasty is the preferred treatment strategy.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>","DOI":"10.1530\/eor-2024-0205","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T09:53:33Z","timestamp":1780394013000},"page":"648-659","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":0,"title":["Management of periprosthetic fractures around cemented femoral stems: osteosynthesis and revision strategies"],"prefix":"10.1530","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2540-1594","authenticated-orcid":true,"given":"Jeffrey W","family":"Kwong","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cary S","family":"Politzer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano A","family":"Bini","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Toogood","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Diaz-Ledezma","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of California San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","reference":[{"key":"bib1","series-title":"Arch Orthop Trauma Surg","first-page":"4075","article-title":"Post-operative peri-prosthetic fracture rates following the use of cemented polished taper-slip stems for primary total hip arthroplasty: a systematic review","volume":"142","author":"Baryeh K","year":"2022","unstructured":"Baryeh K\n & \nSochart DH\n\n. 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That is the question: a review of periprosthetic fractures around cemented taper-slip femoral components","volume":"103-B","author":"Maggs JL","year":"2021","unstructured":"Maggs JL\n, \nSwanton E\n, \nWhitehouse SL\n, et al.\n B2 or not B2? That is the question: a review of periprosthetic fractures around cemented taper-slip femoral components. Bone Joint Lett J 2021 103-B 71\u201378. (https:\/\/doi.org\/10.1302\/0301-620x.103b1.bjj-2020-0163.r1)"},{"key":"bib23","series-title":"Bone Joint Lett J","first-page":"1339","article-title":"Reliability and validity of the unified classification system for postoperative periprosthetic femoral fractures around cemented polished taper-slip stems","volume":"103-B","author":"Jain S","year":"2021","unstructured":"Jain S\n, \nMohrir G\n, \nTownsend O\n, et al.\n Reliability and validity of the unified classification system for postoperative periprosthetic femoral fractures around cemented polished taper-slip stems. 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