Volume: 2
Year: 2025, Page: 1-5,
Received: April 12, 2025 Accepted: April 17, 2025 Published: April 19, 2025
Periprosthetic fractures are becoming more frequent among the elderly, especially among patients with several comorbidities and neurological conditions, such as Parkinson's disease, which makes them more prone to falls. Treating such patients is often a clinical dilemma when surgical treatment is associated with high risk. This case study presents a 75-year-old man with Parkinson's disease, diabetes mellitus, and a history of stroke who experienced a stable Vancouver B1 periprosthetic femoral fracture after a fall. While the initial advice was internal fixation by circumferential wiring and Dall-Miles cables, the patient's high operative risk led to a shared decision for conservative treatment. The patient was managed nonoperatively with close observation and mobilization protocols. The patient showed a remarkable clinical improvement without surgery. This case supports the need for personalized treatment planning and emphasizes that conservative management is a feasible and effective option for high-risk geriatric patients with stable periprosthetic fractures.
Keywords: Periprosthetic Fracture; Conservative; Vancouver B1; Computed Topography
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© 2025 by the authors. Submitted for possible open access publication under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Published by Ascentia Publishers
Hassan H, Shahul S, Alismaily H, Nidal A, Ashik A, Hemanth N, et al. Conservative Management of Vancouver B1 Periprosthetic Fracture in a High-Risk Elderly Patient: A Case Study. Advances in Preclinical and Clinical Research. 2025; 3:202503.