Periprosthetic fractures of the femur are a complex problem to treat. Caref
ul planning is essential before embarking on such a technically demanding p
rocedure. There are many factors to be considered, including the premorbid
condition of the patient and previous experience and training of the surgeo
n. Important factors relating directly to the fracture include the site, st
ability of the implant, and the state of the surrounding bone stock.