Case: Here, we describe a case of a Vancouver B1 periprosthetic femur fracture which initially went on to nonunion after open reduction and internal fixation. Union was ultimately achieved with a construct consisting of a prosthesis-engaging retrograde femoral nail and a locking compression plate.
Conclusions: This case provides evidence that a construct consisting of a prosthesis-engaging retrograde femoral nail and a locking compression plate is an option for increasing fracture site stability in Vancouver B1 periprosthetic fractures and may be useful for patients with poor bone quality or a previously established nonunion.