Locking Compression Plate and Cerclage Band for Type B1 Periprosthetic Femoral Fractures

We present results of 12 type B1 periprosthetic femoral fractures treated with locking compression plate and cerclage band from January 2003 to June 2007. The average follow-up was 30.1 months. Twelve fractures united in an average period of 4.8 months. The mean Harris hip score was 84.4. One patient presented with loosening of proximal screws at 5 months. This patient was treated nonoperatively as she had radiographic evidence of fracture union. One patient with delayed union required 9 months to heal. Unfortunately, 1 month later, she sustained a type C fracture during a slipping injury and treated with cast immobilization. The fracture united after 4 months. None had complications of loss of reduction, plate break, and wound infection.