Background: Treatment of periprosthetic femoral fractures (PPFF) is difficult. Careful pre-operative planning and meticulous intra-operative technique during hip arthroplasty is the most important aspect in the preventio n of periprosthetic fractures. Objective:The aim of the present study was to evaluate the results of surgical treatment of Vancouver C periprosthetic femoral fractures. Methods: The study included 18 patients presented to orthopedic department at Zagazig University Hospitals. ORIF with plate osteosynthesis was used in patients with type C PPF fractures. Time of follow up from six months to one year. Results: Seven patients responded good satisfaction (38.9%), five responded fair satisfaction (27.8%), three patients had excellent feedback (16.7%), and three patients had poor experience (16.7%). The final results were affected by the time lapse before the occurrence of fracture and the time lapse before union and wasn't affected by the age, sex or the timing of occurrence of the fracture. Functional outcome after healing of the fracture was less than the preinjury stage. Conclusion: ORIF with plate osteosynthesis was satisfactory methods for treatment of Vancouver C Periprosthetic Femoral Fractures.

Background: The majority of people with hip arthritis get significant pain alleviation after undergoing total hip replacement. Objective: Evaluation of both early clinical as well as radiological outcomes of cementless total hip arthroplasty in young adults. Subjects and Methods: This was an interventional clinical trial that included 18 patients who were recruited from Orthopedic Department and had osteoarthritic hip who were treated with total hip arthroplasty (THA). Harris hip score (HHS) was utilized for clinical evaluation at 6 weeks, 3 months, and 6 months after surgery, and radiographs were evaluated for loosening signals at the end of 3 months and 6 months. Results: All HHS items improved significantly from 28.3 ± 15.9 to become 85.9 ± 6.7 with a p-value < 0.001 and the percent of improvement (70.4%) ranged from 43.1% to 89.2%. Postoperative HHS was significantly higher in patients without complications compared to those with complications, among males when compared to females, in cases under the age of 60 compared to those over the age of 60, and in cases with osteoarthritis compared to those who had avascular necrosis. Conclusion: Cementless total hip arthroplasty (THA), offers promising outcomes where it led to pain reduction, functional recovery, and enhanced quality of life.