hybrid technique in periprosthetic femoral fractures

This patient had cementing of the distal half of the uncemented porocoat stem with wiring around the proximal uncemented part  for a periprosthetic fracture 6 years ago
Doing well so far  with no lysis so far
I did expect loosening on the cement bone interface but luckily no lysis so far

 so this is an option in a elderly periprosthetic fracture

 similar case below
http://knee-replacement-india.blogspot.in/2009/12/perprosthetic-fracture-in-octogenarian.html