Technical Trick: The Trochanteric Hook Plate in Treatment of B1 Periprosthetic Femur Fractures


Vancouver B1 periprosthetic fractures undergoing operative fixation remain difficult to treat due to a short proximal segment that offers limited options for fixation. The trochanteric hook plate addresses this issue by maximizing proximal purchase and utilizing the entire lateral surface area of the greater trochanter. A surgical technique that prioritizes proximal fixation and adheres to basic principles resulted in all fractures healing in a small case series. (Journal of Surgical Orthopaedic Advances 29(4):199–201, 2020)

Key words: periprosthetic fracture, trochanteric hook plate, Vancouver B1 fracture, femur fracture

Suman Medda, MD; Tyler Snoap, MD; Holly T. Pilson, MD; Jason J. Halvorson, MD; and Eben A. Carroll, MD