Description

Pires et al reported a classification for interprosthetic femoral fractures. The authors are from Federal University of Minas Gerais in Brazil.


Patient selection: interprosthetic femoral fracture with stemmed femoral prosthesis and knee prosthesis

 

Categories:

(I) unstemmed knee prosthesis and fracture mid to upper femur ("surrounding hip")

(II) unstemmed knee prosthesis and fracture lower femur ("surrounding knee")

(III) stemmed knee prosthesis

 

Hip Prosthesis

Knee Prosthesis

Category I

stable

stable

IA

unstable

stable

IB

stable

unstable

IC

unstable

unstable

ID

 

 

Hip Prosthesis

Knee Prosthesis

Category II

stable

stable

IA

unstable

stable

IB

stable

unstable

IC

unstable

unstable

ID

 

 

Hip Prosthesis

Knee Prosthesis

Bone Between

Category III

stable

stable

viable

IIIA

stable

stable

nonviable

IIIB

stable or unstable

unstable or stable

viable

IIIC

stable or unstable

unstable or stable

nonviable

IIID

 

For IIIC and IIID, one or both of the prostheses is unstable


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