Dall-Miles cable and plate system for periprosthetic femoral fracture

Management of femoral shaft fractures in association with hip implants in situ is a difficult and complex problem. We present here our experience of nine periprosthetic femoral fractures treated successfully with open reduction and internal fixation using the Dall-Miles plate and cable system. We recommend this system for fixation of the type 3 fractures using a minimum of three proximal cables and three distal cables with supplementary screws.