Treatment of Proximal Femur Fractures Associated with Total Hip Arthroplasty

The authors reviewed seven cases of proximal femur fractures with ipsilateral total hip arthroplasty between April 1985 and July 1987. All patients had ORIF with Odgen plates and Parham bands. Early mobilization of the patients avoided prolonged bedrest with its inherent morbidity. The morbidity of a revision of the total hip arthroplasty was also avoided. There were no problems with healing of the fractures sites and no evidence of devascularization related to Parham band utilization. All seven type A fractures went to clinical and radiographic union by 4 months and all seven were asymptomatic. The authors recommend the use of Ogden plates and Parham bands for type A fractures. Their clinical data suggest that this method is an effective treatment modality that produces a decrease in morbidity with satisfactory results.