{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T20:55:24Z","timestamp":1790974524874,"version":"4.1.0"},"reference-count":30,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T00:00:00Z","timestamp":1646179200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Treatment of peri- and interprosthetic fractures represents a challenge in orthopedic trauma surgery. Multiple factors such as osteoporosis, polymedication and comorbidities impede therapy and the rehabilitation of this difficult fracture entity. This article summarizes current concepts and highlights new developments for the internal fixation of periprosthetic fractures. Since the elderly are unable to follow partial weight bearing, stable solutions are required. Therefore, a high primary stability is necessary. Numerous options, such as new angular stable plate systems with additional options for variable angle screw positioning, already exist and are in the process of being further improved. Lately, individually produced custom-made implants are offering interesting alternatives to treat periprosthetic fractures.<\/jats:p>","DOI":"10.3390\/jcm11051371","type":"journal-article","created":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T08:37:16Z","timestamp":1646210236000},"page":"1371","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Peri- and Interprosthetic Femoral Fractures\u2014Current Concepts and New Developments for Internal Fixation"],"prefix":"10.3390","volume":"11","author":[{"given":"Clemens","family":"K\u00f6sters","sequence":"first","affiliation":[{"name":"Klinik f\u00fcr Orthop\u00e4die, Unfall- und Handchirurgie, Maria-Josef-Hospital Greven, 48268 Greven, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"den Toom","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Orthop\u00e4die, Unfall- und Handchirurgie, Maria-Josef-Hospital Greven, 48268 Greven, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Metzlaff","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Orthop\u00e4die und Unfallchirurgie, St. Joseph Krankenhaus Berlin, 12101 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiriakos","family":"Daniilidis","sequence":"additional","affiliation":[{"name":"Orthop\u00e4die Traumatologie Centrum Regensburg, 93049 Regensburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Barz","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Orthop\u00e4die, Unfall- und Handchirurgie, Maria-Josef-Hospital Greven, 48268 Greven, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffen","family":"Ro\u00dflenbroich","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfall-, Hand- und Wiederherstellungschirurgie, Universit\u00e4tsklinikum M\u00fcnster, 48149 M\u00fcnster, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,3,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1097\/BOT.0b013e31816ed989","article-title":"Periprosthetic Knee Fractures","volume":"22","author":"Parvizi","year":"2008","journal-title":"J. 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