Abstract
<jats:p>The rising global volume of joint replacement procedures has led to a significant increase in the incidence of periprosthetic femoral fractures, highlighting an urgent need for less invasive surgical alternatives for medically frail patients and those at high surgical risk. This report presents the experience of successful osteosynthesis of a type B2 fracture according to the Vancouver classification using a new anatomical blocking plate as an alternative to technically complex revision arthroplasty. Internal fixation with an anatomic locking plate in a fracture type B2 according to the Vancouver scale provided stable consolidation, as evidenced by a Harris hip score of 91 and an Oxford hip score of 42. Restoration of range of motion up to 90 degrees of flexion without implant migration demonstrates that this method can be an effective, less traumatic alternative to revision surgery. Such an approach can allow to stabilize the bone-implant structure and start the early mobilization of patients with a high surgical risk.Keywords:periprosthetic femoral fractures,Vancouver classification,open reduction and internal fixation,anatomical locking plate, revision arthroplasty.</jats:p>