A

Fracture in trochanteric region

Commonly associated with osteolysis and often requires treatment that addresses the osteolysis. Consider ORIF in displaced fractures.

B1

Fracture around stem or just below it with a well fixed stem

ORIF using cerclage cables and locking plates

B2

Fracture around stem or just below it, loose stem, but good proximal bone stock

Revision of the femoral component to a long porous-coated cementless stems and fixation of the fracture fragment. Revision of the acetabular component if indicate

B3

Fracture around stem or just below with proximal bone that is poor quality or severely comminuted

Femoral component revision with proximal femoral allograft or proximal femoral replacement

C

Fracture occurs well below the prosthesis

ORIF with plate
- leave the hip and acetabular prosthesis alone