23 consecutive proximal femoral fractures in 22 patients, who had prev
iously undergone total hip arthroplasty, were treated with long revisi
on stems. At the time of the fracture, 21 stems were loose. An uncemen
ted Wagner revision stem was used in 9 cases and different conventiona
l revision stems in the others. All fractures healed, but 7 of the con
ventional revision implants rapidly loosened again, whereas so far non
e of the Wagner stems have loosened.