Periprosthetic Fracture

Description

The transcript discusses the ongoing challenge of periprosthetic fractures in hip surgery, highlighting their occurrence during surgery, post-operatively, and even late after the procedure. It emphasizes the importance of preventing these fractures through careful selection of stems, appropriate surgical techniques, and thorough preoperative planning. The narrative touches on several key points: the analysis and decision-making required during surgery if a fracture occurs, the use of collared stems to mitigate fracture risk, and the recognition of certain stem designs that may carry higher risks for postoperative fractures. It also outlines the significance of the universal classification system for managing fractures based on stem stability, detailing treatment approaches for different types of fractures (e.g., B1, B2). The speaker stresses the necessity of patient-centered care, taking into account patient health and the potential need for revision surgery, as well as the importance of ensuring patient mobility post-surgery to reduce morbidity and enhance recovery. Overall, the discussion frames periprosthetic fractures as a complex issue affecting not only orthopedic health but also broader patient outcomes related to frailty and recovery.

DOI: 10.1302/3114-251115

Specialties