Therapeutic strategies for periprosthetic femoral fractures based on three classification systems

The standardization of treatment strategies for periprosthetic femoral fractures is a critical objective for orthopedic surgeons. This review outlines detailed therapeutic approaches based on three classification systems: the Baba, AO/OTA, and Vancouver classifications. This review examined implant stability assessment, internal fixation techniques, and revision strategies for hip function restoration in periprosthetic femoral fractures. The Baba classification objectively determines implant stability, guiding treatment selection. The AO/OTA classification assists in identifying the most appropriate internal fixation technique. The Vancouver classification informs the choice of reconstruction methods for revision surgery. Management of periprosthetic femoral fractures necessitates specialized expertise in joint reconstruction while adhering to the fundamental principles of osteosynthesis to promote bony union. • The global incidence of periprosthetic femoral fractures is rising. • The Baba classification aids in determining implant stability. • The AO/OTA classification guides the selection of internal fixation methods. • The Vancouver classification informs decisions regarding revision surgery.