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One of the greatest challenges in treating patients with periprosthetic femoral fractures is achieving bone fixation in the presence of a well-fixed stem. Three techniques are described, which allow for improved fixation. A clinical series of fourteen patients with periprosthetic femur fractures that underwent open reduction internal fixation utilizing these techniques were reviewed. Thirteen patients had clinical and radiographic union. One patient required conversion to a revision total hipdoi:10.1155/2014/943512 fatcat:fel7vkfodrc2hnr6hchl2u7ioe