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According to the guideline for fractures around a well-fixed stem (Vancouver B1 fractures) in normal bone, the mainstay of operative treatment is ORIF.
The weakening of the proximal bony support can lead to a stress riser between the region without bone ingrowth and the distal well-fixed femoral disphysis.
reported implantation of standard ceramic heads onto well-fixed stems in 61 cases of revision surgery with no ceramic head fractures after 7 years of follow-up [10].
Sewing maven Amy Barickman cleverly adjusts the arithmetic of the old saying, so that "a stitch well-fixed makes six.