Treatment of Primary Hip Arthroplasty Complications. Case Study

Intraoperative periprosthetic femoral fracture during hip arthroplasty is one of the most serious surgical com­plications. Its consequences can be minimized with correct diagnosis and early institution of appropriate treatment. This paper presents the management of a periprosthetic femoral fracture complicated by infection in a 53-year-old female patient. The patient underwent three revision surgeries. The first one consisted in treating the fracture and was complicated by another fracture and infection. This was followed by a two-stage treatment of the infection with a cementless revision stem arthroplasty. Arthroplasty procedures should be preceded by appropriate preoperative planning. In the treatment of peri­pro­sthetic fractures, it is essential to use appropriate implants and adhere to the AO principles of fracture ma­nagement.