Treatment options for proximal periprosthetic femoral fractures in Total Hip Arthroplasty: a single center experience

objective: proximal periprosthetic femoral fractures (PPFFs) are gradually increasing and surgical management is often associated with high risk of complications, due to elderly population and associated comorbidities. patients and methods: we retrospectively assessed 39 patients at least at 2-years follow-up. we identified two study groups, similar for demographic data. group a included patients surgically treated without involving prosthetic implants, whereas group B included patients in which an implant revision was performed. results: data were recorded from January 2017 to february 2020, and 39 patients were included: 30 females (76.9%) and 9 males (23.1%), with a confirmed diagnosis of periprosthetic fracture of the proximal femur. 23 (58.9%) patients were treated with open reduction and Internal fixation (ORIF), 12 (30.7%) with revision surgery and 4 (10.3%) were treated by modular megaprosthesis. conclusions: the treatment options considered in the study, revision arthroplasty and internal fixation had shown no significant differences as a matter of clinical outcomes and postoperative complications.