The JBJS Quiz of the Month is a collection of 10 relevant questions from each orthopaedic subspecialty. The questions are drawn from JBJS Clinical Classroom, which houses over 4,500 questions and 3,100 learning resources. Take the Quiz to see how you score against your peers!

NOTE: This quiz does not earn users CME credits. The questions must be answered within Clinical Classroom to earn CME credits.

Which of the following accurately describes the treatment of a periprosthetic femoral fracture distal to a well-fixed femoral implant (Vancouver type C)?
    • It is important to avoid a stress riser by overlapping the plate with the femoral stem
    • This is the best method to avoid a stress riser in this situation


  • A strut should be used even when the bone stock is adequate

Struts are only necessary for inadequate bone stock



  • Revising the femoral stem is necessary to achieve fixation in the distal bone fragment

Stem revision is not necessary as long as it is well-fixed



  • Use of a retrograde intramedullary nail eliminates concern for a stress riser

A retrograde nail would actually help create a stress riser between the tip of the nail and the distal end of the femoral stem