Abstract
A locking compression plate (LCP) offers angular stability and better fixation of osteoporotic bone. We report three cases of periprosthetic femoral fracture that were treated with a LCP distal femur (LCP-DF) between January and April 2008. All the patients were women, with a mean age of 79 (range, 68-94) years. There were two supracondylar femoral fractures (AO classification 33-A1 and A3) above a total knee arthroplasty. One patient had undergone ipsilateral total hip arthroplasty. There was one femoral shaft fracture (AO classification 32-A1, Vancouver type C) after bipolar hip arthoplasty. The mean duration of follow-up was 5.7 months. All fractures healed with good alignment, and there was no loss of reduction or implant failure. All patients returned to their previous level of mobility. Our results show that fixation of periprosthetic femoral fractures with LCP-DF provides satisfactory results.
