Less invasive stabilization system for the management of periprosthetic femoral fractures around hip arthroplasty.

We present a study of 18 periprosthetic femoral fractures treated with less invasive stabilization system between September 2001 and March 2005. Three patients died during the follow-up period owing to unrelated causes and are excluded from the final results. The average age was 81.6 years, and the average follow-up period was 11.7 months. Twelve patients had significant comorbidities preoperatively. The surviving 15 patients had satisfactory fracture union, although one patient required replating with a less invasive stabilization system plate after a fall. One patient developed deep infection with a chronic sinus. Three patients were noted to have mild to moderate discomfort around the prominent implant.