Periprosthetic femoral fractures with non-cemented stem instability -is the option of free-revision osteosynthesis possible? (Case report)

We present a clinical observation of treating periprosthetic femoral fracture with non-cemented stem instability (Vancouver, В3). The implant stem closed retrograde lengthening performed with its position correction using a locking intramedullary rod. Subsequently, not only femoral fracture union observed, but the implant stem reintegration as well. A good clinical result achieved. The presented technology allows reducing trauma degree and blood loss, achieving patient’s early activation with limb weight-bearing recovery. Similar to revision arthroplasty result obtained when performing little-invasive intervention.