{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T20:34:03Z","timestamp":1776458043499,"version":"3.51.2"},"reference-count":23,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2020,11,22]],"date-time":"2020-11-22T00:00:00Z","timestamp":1606003200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"AOTrauma Asia Pacific under AOFoundation","award":["Project No. AOTAP19-17"],"award-info":[{"award-number":["Project No. AOTAP19-17"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>This study investigated the incidence of failure after locking compression plate (LCP) osteosynthesis around a well-fixed stem of periprosthetic femoral fractures (PFFs). We retrospectively evaluated outcomes of 63 Vancouver type B1 and C PFFs treated with LCP between May 2001 and February 2018. The mean follow-up duration was 47 months. Only patients with fracture fixation with a locking plate without supplemental allograft struts were included. We identified six periprosthetic fractures of proximal Vancouver B1 fractures with spiral pattern (Group A). Vancouver B1 fractures around the stem tip were grouped into seven transverse fracture patterns (Group B) and 38 other fracture patterns such as comminuted, oblique, or spiral (Group C). Vancouver C fractures comprised 12 periprosthetic fractures with spiral, comminuted, or oblique patterns (Group D). Fracture healing without complications was achieved in all six cases in Group A, 4\/7 (57%) in Group B, 35\/38 (92%) in Group C, and 11\/12 (92%) in Group D, respectively. The failure rates of transverse Vancouver type B1 PFFs around the stem tip were significantly different from those of Vancouver type B1\/C PFFs with other patterns. For fracture with transverse pattern around the stem tip, additional fixation is necessary because LCP osteosynthesis has high failure rates.<\/jats:p>","DOI":"10.3390\/jcm9113758","type":"journal-article","created":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T11:50:34Z","timestamp":1606132234000},"page":"3758","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["High Failure Rates of Locking Compression Plate Osteosynthesis with Transverse Fracture around a Well-Fixed Stem Tip for Periprosthetic Femoral Fracture"],"prefix":"10.3390","volume":"9","author":[{"given":"Byung-Woo","family":"Min","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, 1035 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyung-Jae","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, 1035 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chul-Hyun","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, 1035 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"In-Gyu","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, 1035 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8728-512X","authenticated-orcid":false,"given":"Beom-Soo","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, 1035 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,11,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"770","DOI":"10.1007\/s00508-015-0818-3","article-title":"Plate failure following plate osteosynthesis in periprosthetic femoral fractures","volume":"127","author":"Boesmueller","year":"2015","journal-title":"Wien Klin. Wochenschr."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/j.injury.2007.02.038","article-title":"Locking plate osteosynthesis for Vancouver Type B1 and Type C periprosthetic fractures of femur: A report on 12 patients","volume":"38","author":"Chakravarthy","year":"2007","journal-title":"Injury"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1097\/BOT.0000000000000126","article-title":"Surgical fixation of Vancouver type B1 periprosthetic femur fractures: A systematic review","volume":"28","author":"Dehghan","year":"2014","journal-title":"J. Orthop. Trauma"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"2365","DOI":"10.1007\/s00264-015-3107-x","article-title":"High union rates of locking compression plating with cortical strut allograft for type B1 periprosthetic femoral fractures","volume":"40","author":"Yeo","year":"2016","journal-title":"Int. Orthop."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1964","DOI":"10.2106\/00004623-200709000-00011","article-title":"Locking compression plate fixation of Vancouver type-B1 periprosthetic femoral fractures","volume":"89","author":"Buttaro","year":"2007","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"426","DOI":"10.1007\/s00776-013-0359-4","article-title":"Locking plate fixation for Vancouver B1 periprosthetic femoral fractures: A critical analysis of 135 cases","volume":"18","author":"Graham","year":"2013","journal-title":"J. Orthop. Sci."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1302\/0301-620X.91B11.22292","article-title":"An algorithm for the surgical treatment of periprosthetic fractures of the femur around a well-fixed femoral component","volume":"91","author":"Corten","year":"2009","journal-title":"J. Bone Jt. Surg. Br."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1302\/0301-620X.88B1.17029","article-title":"Risk factors for failure after treatment of a periprosthetic fracture of the femur","volume":"88","author":"Lindahl","year":"2006","journal-title":"J. Bone Jt. Surg. Br."},{"key":"ref_9","first-page":"293","article-title":"Fractures of the femur after hip replacement","volume":"44","author":"Duncan","year":"1995","journal-title":"Instr. Course Lect."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1097\/00003086-200403000-00012","article-title":"Periprosthetic fractures evaluation and treatment","volume":"420","author":"Masri","year":"2004","journal-title":"Clin. Orthop. Relat. Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"208","DOI":"10.4055\/cios.2019.11.2.208","article-title":"A Meta-analysis of Studies of Volar Locking Plate Fixation of Distal Radius Fractures: Conventional versus Minimally Invasive Plate Osteosynthesis","volume":"11","author":"Lee","year":"2019","journal-title":"Clin. Orthop. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/j.arth.2016.05.064","article-title":"Use of Locking Plate and Strut Onlay Allografts for Periprosthetic Fracture Around Well-Fixed Femoral Components","volume":"32","author":"Kim","year":"2017","journal-title":"J. Arthroplast."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2800","DOI":"10.1016\/j.injury.2016.09.037","article-title":"Plate fixation in periprosthetic femur fractures Vancouver type B1-Trochanteric hook plate or subtrochanterical bicortical locking?","volume":"47","author":"Lenz","year":"2016","journal-title":"Injury"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1007\/s00590-017-1900-5","article-title":"Periprosthetic fracture around a stable femoral stem treated with locking plate osteosynthesis: Distal femoral locking plate alone versus with cerclage cable","volume":"27","author":"Shin","year":"2017","journal-title":"Eur. J. Orthop. Surg. Traumatol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"14","DOI":"10.4055\/cios.2018.10.1.14","article-title":"Predictors of Intraoperative Fractures during Hemiarthroplasty for the Treatment of Fragility Hip Fractures","volume":"10","author":"Riaz","year":"2018","journal-title":"Clin. Orthop. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1180","DOI":"10.1016\/j.injury.2009.02.017","article-title":"Isolated locked compression plating for Vancouver Type B1 periprosthetic femoral fractures","volume":"40","author":"Bryant","year":"2009","journal-title":"Injury"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/s00402-013-1883-6","article-title":"Treatment of periprosthetic femur fractures around a well-fixed hip arthroplasty implant: Span the whole bone","volume":"134","author":"Moloney","year":"2014","journal-title":"Arch. Orthop. Trauma Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1016\/j.injury.2012.10.035","article-title":"Less invasive polyaxial locking plate fixation in periprosthetic and peri-implant fractures of the femur\u2014A prospective study of 41 patients","volume":"44","author":"Ruchholtz","year":"2013","journal-title":"Injury"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"275","DOI":"10.2106\/00004623-200609001-00011","article-title":"Indirect reduction and plate fixation, without grafting, for periprosthetic femoral shaft fractures about a stable intramedullary implant. Surgical Technique","volume":"88","author":"Ricci","year":"2006","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"B63","DOI":"10.1016\/j.injury.2003.09.026","article-title":"Guidelines for the clinical application of the LCP","volume":"34","author":"Gautier","year":"2003","journal-title":"Injury"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2301","DOI":"10.1016\/j.injury.2019.10.012","article-title":"Cable plate fixation for Vancouver Type-B1 periprosthetic femoral fractures-Our experience and identification of a subset at risk of non-union","volume":"50","author":"Chakrabarti","year":"2019","journal-title":"Injury"},{"key":"ref_22","first-page":"234","article-title":"Periprosthetic fractures around the femoral stem: Overcoming challenges and avoiding pitfalls","volume":"3","author":"Fleischman","year":"2015","journal-title":"Ann. Transl. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"2469","DOI":"10.1007\/s00264-014-2464-1","article-title":"Clinical and radiological results of patients treated with orthogonal double plating for periprosthetic femoral fractures","volume":"38","author":"Galler","year":"2014","journal-title":"Int. Orthop"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/9\/11\/3758\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:35:35Z","timestamp":1760178935000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/9\/11\/3758"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,22]]},"references-count":23,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,11]]}},"alternative-id":["jcm9113758"],"URL":"https:\/\/doi.org\/10.3390\/jcm9113758","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,22]]}}}