Complex Peri-Prosthetic Fracture (Fractures Near Artificial Joints)

A peri-prosthetic fracture is a break in the bone occurring near an artificial joint implant, such as a hip, knee, shoulder, or elbow replacement. These fractures can be complex due to the presence of metal prostheses, altered bone quality, and the potential for implant loosening or damage. They are often caused by trauma (like a fall), stress fractures, or weakened bone due to osteoporosis or long-standing implant wear.

Key Challenges:

• Compromised bone stock: Bones around prostheses may be weakened or thinned.
• Implant stability: Determining whether the prosthetic joint is still stable is crucial in treatment planning.
• Surgical complexity: Surgery often requires revision joint replacement, bone grafting, or specialized fixation techniques.

Diagnosis and Management:
Accurate diagnosis involves X-rays and CT scans to assess the location of the fracture, the condition of the implant, and bone health. Treatment may include:

• Conservative management (in minor, stable fractures)
• Surgical fixation with plates, screws, or cables
• Revision arthroplasty if the implant is loose or damaged

Multidisciplinary care involving orthopedic surgeons, physiotherapists, and rehabilitation specialists is essential for optimal recovery. Early mobilization, pain management, and rehabilitation are key to restoring function and minimizing complications.