2024年11月24日 · THA Periprosthetic Fractures are a complication of a total hip prosthesis with increasing incidence as a result of increased arthroplasty procedures and high-demands of elderly patients. Diagnosis can be made with plain radiographs of the affected hip and ipsilateral femur.

A periprosthetic fracture is a broken bone that occurs around the implants of a total hip replacement. It is a serious complication that most often requires surgery. These types of fractures are most often the result of a fall.

A broken bone around a hip replacement is called a periprosthetic hip fracture. It can happen during the surgery, or after a fall or accident. The break usually happens in the thigh bone near the metal stem. Sometimes, the bone near the hip socket breaks too.

A periprosthetic hip fracture is a broken bone that happens around or very close to the implants (metal and plastic) of a hip replacement. This broken bone can happen during the surgery to replace the hip or from a fall or other trauma.

We report on the current management, latest advancements, and clinical outcomes of periprosthetic femoral fractures around a hip arthroplasty and propose an algorithm that can successfully guide treatment. Periprosthetic fractures around the hip can occur either intraoperatively or postoperatively.

2023年5月1日 · Periprosthetic proximal femur fractures are complex orthopedic issues that carry significant morbidity and mortality. The demand for primary total hip arthroplasty is projected to grow to 572,000 procedures performed in 2030, a 174% increase from 2005.

2017年3月13日 · Periprosthetic fracture most commonly occur in the elderly with significant osteoporosis, or in people with significant osteolysis, which has made the bone thin and highly susceptible to fracture. If the stem is loose and needs revision, it is critical to select the proper implant based on bone stock, because remember that many femoral implants ...

2024年9月11日 · Periprosthetic fracture is a term used to describe any fracture that occurs around an implanted orthopedic prosthesis, most commonly knee or hip arthroplasties.

Periprosthetic fractures are extremely painful and often make it impossible to walk or bear weight on the injured leg. You can also have swelling and bruising near the affected joint or have some deformity or difference in leg length after the fracture.

2025年1月22日 · Periprosthetic fractures involving hip hemiarthroplasty are rare fractures that occur near or around femoral stems, often caused by low energy trauma, leading to possible implant instability, pain, and immobility. These fractures typically occur in geriatric patients with underlying osteoporosis.

The most common periprosthetic fractures occur around the hip. The most widely used classification is the Vancouver classification, and management requires careful planning and skill in both arthroplasty and fracture surgery. This article presents ...

Hip fractures following a hip replacement are called periprosthetic hip fractures – fractures that occur around arthroplasty hardware and can either involve the femur or the acetabulum (less common).¹,². To understand periprosthetic hip fractures, we need to …

Periprosthetic femoral fractures most commonly result from low-energy falls, usually affecting the proximal femur. Commonly, this means damage to a hip prosthesis, i.e., a fracture below the prosthesis, loosening of the prosthesis in the femur, or both.

We help you diagnose your Hip periprosthetic fractures case and provide detailed descriptions of how to manage this and hundreds of other pathologies

Background: Periprosthetic fractures now account for 14.1% of all hip revisions. Surgery is often highly specialised and can involve the revision of implants, fixation of fractures, or a combination of both. Delays to surgery are frequent as specialist equipment and surgeons are often required.

A periprosthetic fracture after hip replacement is a break in the bone surrounding a hip implant, occurring either in the femur or the acetabulum. This type of fracture is typically caused by trauma, stress on the bone, or weakening of the bone due to osteoporosis or other factors.

2024年2月9日 · Vancouver classification has been modified to include intraoperative periprosthetic fractures: Type A, confined to proximal metaphysis; type B, involves proximal diaphysis; and type C, beyond longest revision stem and may include distal femoral metaphysis.

2021年1月4日 · The most reliable method remains intraoperative assessment during surgical exploration of the hip joint.Certain B1 fractures will benefit from revision surgery, whilst some B2 fractures can be effectively managed with osteosynthesis, especially in frail patients.Less invasive osteosynthesis, balanced plate-bone constructs, composite implant ...

2022年9月30日 · Consensus regarding treatment of PFFs around well-fixed stems is lacking, but revision surgery may provide more predictable outcomes for unstable fracture patterns and fractures around polished taper-slip stems.

5 天之前 · The incidence of revision hip arthroplasty has increased in recent years [1].Periprosthetic femur fracture constitutes a notable proportion of revision hip arthroplasties and is the third most common cause of revision [2].Its occurrence is estimated at 1% among primary total hip arthroplasty and 4% among revision hip arthroplasty [3].The incidence of subsequent …

Studies highlight arthroplasty as the optimal treatment for specific fractures, including geriatric femoral head and neck fractures, proximal and distal humerus fractures, and distal femur fractures. Additionally, some periprosthetic fractures necessitate revision arthroplasty alongside ORIF to ensure successful outcomes and reduce complications.

Among 37 cases of periprosthetic femoral fractures after hip arthroplasty treated between March 2014 and September 2016, all included a follow-up of at least one year and were included in this study. Outcomes were evaluated using the Beals and Tower's criteria.

5 天之前 · Aims Older adults with hip fractures are at high risk of experiencing complications after surgery, but estimates of the rate of specific complications vary by study design and follow-up period ...

Intraoperative periprosthetic fractures: There were 13 intraoperative periprosthetic fractures recorded in the study, 11 were avulsion type fractures of medial epicondyle of femur and 2 were medial tibial plateau that occurred during tibial preparation. Out of 11 femoral fractures, 2 cases were managed with two cancellous screws due to good ...