Periprosthetic femur fractures around the hip are one of the most common aseptic complications following total hip arthroplasty. Understanding the risk factors of periprosthetic femur fracture can aid surgeons in the prevention of these injuries. The Vancouver classification provides a reproducible description of the factors that should be considered in the treatment of patients with periprosthetic femur fractures: fracture site, implant stability, and bone stock. It is important for the surgeon to review the epidemiology and risk factors for periprosthetic femur fractures around the hip along with contemporary strategies for the management of these fractures based on fracture type, location, and status of the femoral prosthesis.
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