Complications and Mortality of Open Reduction and Internal Fixation for Periprosthetic Femoral Fractures Around Cementless Femoral Stems: A Mid- to Long- Term Retrospective Cohort Study

: Open reduction and internal fixation for PFFs around cementless stems demonstrated acceptable mid- to long-term outcomes with comparable survivorship in selected patients. Although reoperations were not uncommon, mortality rates were comparable. ORIF may represent a reasonable treatment option in carefully selected patients, particularly those with high surgical risk. However, as the cohort was predominantly composed of B1 fractures, the findings should be interpreted primarily in the context of this fracture subtype.