Managing Vancouver B2 periprosthetic femoral fractures: is open reduction and internal fixation superior to stem revision? - Takeaways - MDSpire

Managing Vancouver B2 periprosthetic femoral fractures: is open reduction and internal fixation superior to stem revision?

  • By

  • Tihui Wang

  • Hongwei Xu

  • Jinqing Wu

  • Xu Wang

  • April 17, 2026

  • 0 min

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  • 1

    Periprosthetic femoral fractures (PFFs) occur in 3.5% of total hip arthroplasties and 4-12% after revision surgeries.

  • 2

    Vancouver type B2 PFFs involve a loose stem with good bone stock, complicating treatment decisions.

  • 3

    Stem revision (SR) is traditionally the gold standard for Vancouver B2 fractures, but open reduction and internal fixation (ORIF) may be a viable alternative.

  • 4

    The study analyzed 48 patients with Vancouver B2 PFFs, comparing outcomes of SR and ORIF over a follow-up period of at least 24 months.

  • 5

    Final decisions on stem stability during surgery are often based on intraoperative assessments rather than preoperative imaging.

Original Source(s)

Managing Vancouver B2 periprosthetic femoral fractures: is open reduction and internal fixation superior to stem revision?

  • by Tihui Wang, Hongwei Xu, Jinqing Wu, Xu Wang

  • April 17, 2026

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