| Which of the following accurately describes the treatment of a periprosthetic femoral fracture distal to a well-fixed femoral implant (Vancouver type C)? |
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- 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