Abstract
Periprosthetic fracture of the femur is an uncommon but potentially devastating complication. These fractures can be classified based on the anatomic location and extent of comminution.'"3 Other factors that may influence treatment include the type Of implant fixation (cemented or uncemented), integrity of the bone-implant interface, bone quality, and age and activity level of the patient.

INTRAOPERATIVE AND EARLY POSTOPERATIVE FRACTURES

Intraoperative fractures occur more commonly during preparation of the femur for cementless rather than cemented fixation.2 This is consistent with the more aggressive reaming and broaching necessary to achieve cortical contact and press-fit stability of a cementless stem.4 Proximal fractures that are identified during surgery can be managed with cerclage cable or wire fixation. Once stabilized, these generally do not compromise the long-term outcome of the arthroplasty.