Vol. 7, Issue 2, Part B (2025)

Background: Periprosthetic femur fractures following hip arthroplasty or hemiarthroplasty are challenging complications that remain difficult to manage. Despite advances in surgical techniques and implant designs, effective treatment options are still needed. The cable plating system has shown potential in treating these fractures but requires further evaluation.
Objectives: This study aims to assess the clinical and radiological outcomes of the cable plating system in managing periprosthetic femur fractures, focusing on fracture union, functional outcomes, and complications.
Materials and Methods: Sixteen patients with periprosthetic femur fractures were treated using the cable plating system. Data on demographics, fracture characteristics, and intraoperative variables were collected. Patients were followed for 12 months, and radiological (fracture union) and functional outcomes (Harris Hip Score and Lower Extremity Functional Scale) were evaluated.
Results: The mean age was 64 years, with 62.5% males. All patients had Vancouver type B1 fractures. The lateral approach was used in all cases without opening the joint. Complications included two wound infection (12.5%) and both the case had delayed union. 87.5% of patients achieved acceptable fracture union by 4 months. Harris Hip Scores were excellent in 12.5%, good in 50%. LEFS showed minimal limitation in 12.5% mild limitations in 50% and moderate limitations in 37.5%.
Conclusion: The cable plating system effectively treats periprosthetic femur fractures, offering favourable fracture union and functional outcomes. These findings support the use of cable plating in managing such fractures, though further studies with larger sample sizes and longer follow-ups are needed to confirm long-term benefits.