Single-center case series of 50 consecutive patients with Vancouver Type-B1 periprosthetic femoral shaft fractures (fracture around a stable intramedullary implant) treated with indirect open reduction and a single extraperiosteal lateral plate — no structural allograft. Asks whether this simplified, biology-preserving approach achieves reliable healing.
When you encounter a Vancouver Type-B1 periprosthetic femoral fracture around a well-fixed stem, indirect reduction with a single extraperiosteal lateral plate — without structural allograft — achieves reliable, timely union and avoids the added complexity, cost, and donor-site morbidity of strut grafting.
Single-center case series of 50 consecutive patients with Vancouver Type-B1 periprosthetic femoral shaft fractures (fracture around a stable intramedullary implant) treated with indirect open reduction and a single extraperiosteal lateral plate — no structural allograft. Asks whether this simplified, biology-preserving approach achieves reliable healing.
When you encounter a Vancouver Type-B1 periprosthetic femoral fracture around a well-fixed stem, indirect reduction with a single extraperiosteal lateral plate — without structural allograft — achieves reliable, timely union and avoids the added complexity, cost, and donor-site morbidity of strut grafting.