case_images: PMC10026097_01
case_images: Transverse vancouver B1 periprosthetic fracture
  with cortical thickening.
case_images: 10.1177_21514593221145884-fig1.jpg
case_images: PMC10026097_01_10.1177_21514593221145884-fig1.jpg
case_images: fig1-21514593221145884
case_images: Radiographs revealed a periprosthetic non-comminuted transverse fracture with medial cortical thickening just distal to the tip of the stem (Figure 1).
case_images: Open reduction and internal fixation with NCB
  periprosthetic femur plate system (Zimmer Biomet, Warsaw), cerclages and
  medial cortical strut allograft.
case_images: 10.1177_21514593221145884-fig2.jpg
case_images: PMC10026097_01_10.1177_21514593221145884-fig2.jpg
case_images: fig2-21514593221145884
case_images: The patient underwent open reduction and internal fixation (ORIF) with NCB periprosthetic femur plate system (Zimmer Biomet, Warsaw), cerclages and medial cortical strut allograft (Figure 2).
case_images: Hardware failure 4 days after the
  surgery.
case_images: 10.1177_21514593221145884-fig3.jpg
case_images: PMC10026097_01_10.1177_21514593221145884-fig3.jpg
case_images: fig3-21514593221145884
case_images: However, only after 4 days she sustained a hardware failure (Figure 3).
case_images: Reduction and fixation with a longer plate and a
  longer cortical strut on the medial side.
case_images: 10.1177_21514593221145884-fig4.jpg
case_images: PMC10026097_01_10.1177_21514593221145884-fig4.jpg
case_images: fig4-21514593221145884
case_images: The patient underwent a new surgical open reduction and internal fixation with a longer plate augmented with a longer cortical strut on the medial side (Figure 4).
case_images: Refracture at the same level after 6 months of
  partial weight bearing.
case_images: 10.1177_21514593221145884-fig5.jpg
case_images: PMC10026097_01_10.1177_21514593221145884-fig5.jpg
case_images: fig5-21514593221145884
case_images: Radiographic evaluation revealed breakage of the locking plate and a refracture at the same place (Figure 5).
case_images: Revision surgery with arcos modular femoral
  revision stem interlocking 20 mm x 250 mm (Zimmer Biomet, Warsaw)
  distally locked with 3 cortical screws.
case_images: 10.1177_21514593221145884-fig6.jpg
case_images: PMC10026097_01_10.1177_21514593221145884-fig6.jpg
case_images: fig6-21514593221145884
case_images: The ceramic head was replaced too with a 36 mm Biolox Delta (Figure 6).