What is a periprosthetic fracture of the femur?
A periprosthetic hip 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.
How do they fix a periprosthetic fracture?
Essentially all periprosthetic fractures require some treatment. Stable nondisplaced fractures may only require protected weightbearing or cast/brace immobilization (and pain medication), but most unstable peri-implant fractures require surgical stabilization, implant replacement, or both to restore function.
How common are periprosthetic fractures?
Periprosthetic knee fractures performing TKA are rare and the reported incidence, ranging from 0.3% to 3.13%, may be under-estimated (6).
How long does it take to recover from a broken femur?
Most femoral fractures take about 4 to 6 months to heal completely, but you should be able to resume many activities before this time.
Does time to surgery affect outcomes for periprosthetic femur fractures?
Conclusion: The timing of fixation of periprosthetic femur fractures does not appear to affect postoperative length of stay or mortality within 1 year.
How common is femur fracture during hip replacement surgery?
The increasing use of uncemented implants has been accompanied by an increased rate of femoral fracture. In a series of primary total hip replacements (THR) from the Mayo Clinic, the intraoperative fracture rate was 0.3% with cemented implants and 5.4% with cementless implants.
How long does it take for a greater trochanter fracture to heal?
Most trochanteric fractures are self-limiting and can be treated without surgical intervention if the displacement is less than 1 cm. However, the patient must not bear weight on the affected leg for up to a month. Many patients may take up to 3 months to return to normal physical activity.
How long does it take for a trochanter fracture to heal?
Most people are able to return to work 4 weeks to 4 months after surgery. But it may take 6 months to 1 year for you to fully recover. Some people, especially older people, are never able to move quite as well as they used to. You heal best when you take good care of yourself.
Why does my femur hurt after hip replacement?
Groin pain is more indicative of problems with the acetabular component, whereas thigh pain is more indicative of problems with the femoral stem. Aseptic loosening is the most common cause of pain after total hip replacement surgery and should be suspected in this patient.
When does an intraoperative trochanteric femoral fracture occur?
Intraoperative fracture of the greater trochanter more commonly occurs with a direct anterior approach to the hip. AP and lateral radiographs may be required to visualize these fractures.
How is the diagnosis of a periprosthetic fracture made?
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.
How are periprosthetic femoral fractures treated in Vancouver?
Periprosthetic femoral fracture treatment is based on the site of fracture, implant stability, and bone stock. The Vancouver classification offers a reproducible description of these factors with the subsequently easy formation of a treatment plan.
Can a lesser trochanter fracture occur remote to surgery?
Lesser trochanter fractures occur more commonly with posterior approach arthroplasty. They can also occur remote to surgery, with a twisting mechanism. Pathologic fracture must always be considered. Particularly for fractures involving the lesser trochanter. AP and lateral radiographs may be required to visualize these fractures.