Periprosthetic Fractures

According to published results, stem design was the strongest predictor of postoperative periprosthetic femoral fracture after total hip arthroplasty, regardless of the use of cement.

KOLOA, Hawaii — Surgeons must devise and implement calculated treatment algorithms when performing periprosthetic fracture revisions following total hip and total knee arthroplasties, according to a presenter here.

According to published results, patients with PTSD may be at an increased risk for postoperative ED visits, periprosthetic joint infections and revision surgery after total knee arthroplasty compared with patients without PTSD.

Most of the surgeons in our group have a strong preference for using intramedullary fixation for distal femoral periprosthetic fractures.

Reported as the most frequently performed orthopedic procedures in the United States, research has projected an estimated increase in total hip and knee procedures of 176% and 139%, respectively, by 2040.

Osteoporosis and osteopenia may be underdiagnosed and undertreated among patients treated for a periprosthetic fracture following total hip arthroplasty, according to published results.

Published results showed robotic-assisted total hip arthroplasty was associated with increased total patient charges and risk of surgical complications, such as periprosthetic fractures and transfusions, compared with conventional THA.

WAILEA, Hawaii — At Orthopedics Today Hawaii, Frank A. Liporace, MD, shared five tips for the treatment and analysis of periprosthetic fractures regarding total knee arthroplasty and total hip arthroplasty.

Both cemented and cementless total knee arthroplasty yielded low rates of periprosthetic fractures at 3-month and 10-year follow-up with women at highest risk for fractures, according to published results.

Compared with small to medium stems, large cementless hip stems had a higher rate of revision due to periprosthetic fractures, according to results published in the Journal of Arthroplasty.