The Treatment of Periprosthetic Fractures Around the Hip in 2025: A Comprehensive Evidence-Based Approach.

Periprosthetic fractures necessitate a multidisciplinary approach because of their complexity, requiring an in-depth understanding of epidemiology, classification systems, diagnostic strategies, and advanced treatment options. The management of periprosthetic femur fractures depends on factors such as implant stability, bone quality, and fracture pattern, influencing decisions regarding open reduction and internal fixation versus revision total hip arthroplasty. With advancements in implant technology and surgical techniques, optimizing fixation constructs to allow early weight bearing has become a focal point in treatment planning.