[Ortho] Перипротезный перелом

[Huseyin Demirors]

Dear Dr Chelnokov,

Although femoral stem seems stable, its cement mantle is completely destroyed and devoid of bone medially and distally (where its most necessary)
Fixation of the fracture with cable wire systems of course will heal the fracture but reduction of the fracture can be demanding after 5 weeks and 
loosening of this stem seems unavoidable.
My preference would be revision with a long porous coated femoral stem, acetabular component looks stable but worn ( in 5 years?, patient must be an active man) best is to revise it with a cementless cup.

  Good luck

Huseyin Demirors MD
Associate Prof
Baskent University Ankara