Jay Patel MD - Orthopaedic Surgeon - Joint Replacement Surgeon Jay Patel MD - Orthopaedic Surgeon - Joint Replacement Surgeon Jay Patel MD - Orthopaedic Surgeon - Joint Replacement Surgeon : (714)-937-4858

Reconstruction of Periprosthetic Fractures

Periprosthetic fractures are the fractures that occur around the joint implant. Periprosthetic fractures are more common in patients over 65 years of age. The risk factors for post-operative periprosthetic fractures include age, female gender, osteoporosis, rheumatoid arthritis, neurologic disorders, previous hip or knee surgery, a previous history of femoral neck fracture, and implants placed for a long duration.

Management of periprosthetic fractures is based on fracture pattern, bone quality, location and severity of the fracture. A careful preoperative planning is essential for a successful surgical outcome. The reconstruction of periprosthetic fractures may either include replacement of the implant with a new implant or the fixation of the implant to the surrounding bone. The goal of treatment is to restore pre-fracture functional status of the patient. Fracture fixation can be done using wires, screws, cables, or metal plates. For patients with fragile brittle bones, a special locking plate device and locking screws have been developed to stabilize the fracture. Majority of these fractures are a result of osteolysis, hence a bone graft should be used to repair the osteolytic area. Periprosthetic fractures with extensive bone loss are reconstructed using modular prostheses.

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