Incidence of periprosthetic fractures. Medical search. Frequent questions

Primary outcomes included periprosthetic fracture or infection (e.g., superficial or deep). (bvsalud.org)
There was a low 90-day infection incidence with this technique. (bvsalud.org)
The indications for revision were postoperative periprosthetic femoral fracture (n = 6), dislocation (n = 3), and infection (n = 1). (elsevierpure.com)
Open Ankle Fractures: What Predicts Infection? (upenn.edu)
Indications for the index DFR included 66 (46%) for native (n = 11) or periprosthetic (n = 55) femoral fracture, 40 (28%) for staged treatment of periprosthetic joint infection, 28 (19%) for aseptic TKA loosening, and 10 (7%) for other indications. (elsevierpure.com)
There were 7 above-the-knee amputations performed at the time of the final follow-up, all for intractable periprosthetic joint infection.Conclusions:TKAs with contemporary DFR had high 10-year cumulative incidences of both revision and reoperation, underscoring the salvage nature of this procedure as a final reconstructive option. (elsevierpure.com)
Survivorship and Etiologies of Failure in Single-stage Revision Arthroplasty for Periprosthetic Joint Infection: A Meta-analysis. (ucdavis.edu)
BACKGROUND: Periprosthetic fractures (PPFs) are a growing matter for orthopaedic surgeons, and patients with PPFs may represent a frail target in the case of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. (bvsalud.org)
In case of compound fractures, the risk of bone, joint and soft tissue infection significantly increases, so the appropriate healing process of traumatic wound is limited. (npwtj.com)

Competing risk analysis accounting for death was utilized to determine cumulative incidences of revision and reoperation. (elsevierpure.com)
The mean follow-up was 5 years (range, 2 to 13 years) for the 111 patients who did not undergo revision, had not died, and were not lost to follow-up.Results:The 10-year cumulative incidences of revision for aseptic loosening, all-cause revision, and any reoperation were 17.0%, 27.5%, and 46.3%, respectively. (elsevierpure.com)

[ 3 ] Additionally, the indications for joint replacement have expanded significantly over the past few decades to include much older and younger patients, both of which have a higher risk of periprosthetic fracture. (medscape.com)
Mayo Clinic and Swedish registry studies found that 94% and 70% of patients with periprosthetic fracture had a loose stem before fracture. (medscape.com)
All patients with peripristhetic fracture were treated using metal cables. (czytelniamedyczna.pl)
Decreased incidence of periprosthetic fractures in patients with OA as a sequeleae of DDH was noted in all patients treated using cone stems. (czytelniamedyczna.pl)
CONCLUSIONS: In the current study, one in 1,172 patients may experience a pin-related periprosthetic fracture after RA-TKA with intra-incisional bone array pin placement. (bvsalud.org)
Periprosthetic femoral fractures are increasing in incidence, and typically occur in frail elderly patients. (boneandjoint.org.uk)
The study aims to analyze the incidence of 30-day mortality in elderly patients who underwent surgery for hip fractures and its associated factors. (open.ac.uk)
All patients aged ≥ 65 years, with fragility hip fractures, consecutively admitted in two Italian hospitals were included. (open.ac.uk)
Patients with periprosthetic or pathological fractures were excluded. (open.ac.uk)
Methods: All patients treated at the Orthopedic and Traumatology Unit of Cattinara Hospital-ASUGI (Trieste, Italy) between September 2014 and September 2019 for distal femur periprosthetic fracture after total knee replacement were included in the study. (units.it)
Geriatric hip fracture patients frequently suffer femoral neck injuries. (ijoro.org)
The trial aimed to compare the health-related quality of life and outcomes of patients undergoing cemented versus uncemented hemiarthroplasty for intracapsular hip fractures in individuals aged 60 years or older. (visualmed.org)
These findings have implications for the selection of surgical techniques and the optimization of outcomes in patients undergoing hemiarthroplasty for intracapsular hip fractures. (visualmed.org)
0.001).Conclusions:An increased incidence of complications such as acute blood loss anemia, periprosthetic mechanical complications, and increased COC, but no difference in LOS was noted in patients undergoing TKA with PD. (elsevierpure.com)
We used molecular detection methods to evaluate the incidence of E . cuniculi among patients who had total hip or knee arthroplasty revision. (cdc.gov)
performed a prospective observational study of 76 patients with complex proximal humerus fractures managed non-operatively. (scielo.org.za)
Patients were grouped according to a 3D classification of fracture pattern. (scielo.org.za)
In a recent prospective randomised control trial (PRCT) of 50 patients comparing non-operative management and locked-plate fixation for complex displaced fractures, it was reported that at 12 months the functional scores (American Shoulder and Elbow Score ASES, and Constant Score CS) were similar, and that the only significant difference was better radiographs in the operated group. (scielo.org.za)
The present study is done to compare the incidence and depth of notching between knees in patients undergoing simultaneous bilateral navigated TKA, where femoral component sagittal positioning was planned perpendicular to DCX in one knee and perpendicular to SMX in the opposite knee. (biomedcentral.com)
We excluded three patients with previous femur fracture, four who had previous knee surgery, six with inflammatory disease, four with severe liver or kidney problem, two who used steroids, four with femoral stem extenders and six more who failed to follow up. (biomedcentral.com)
Since these fractures typically occur in geriatric group and the patient is often frail and having comorbidities, complications in this groups leads to loss of functional independence, prolonged hospital stay with tremendous costs to the patients, family and the society. (traumainternational.co.in)
This series found no significant difference in the incidence of bone infections, bone tumours or the need for limb reconstruction, between HIV-positive and -negative patients. (scielo.org.za)
Rapidly progressive idiopathic arthritis of the hip: incidence and risk factors in a controlled cohort study of 1471 patients after intra-articular corticosteroid injection. (ucdavis.edu)
Continued efforts are required to optimise the treatment of these frail patients in the period of the pandemic, minimising the risk of contamination, and to limit the incidence of PPFs in the future. (bvsalud.org)
Thillemann TM, Pedersen AB, Johnsen SP, Søballe K. Inferior outcome after intraoperative femoral fracture in total hip arthroplasty: outcome in 519 patients from the Danish Hip Arthroplasty Registry. (danskhoftealloplastikregister.dk)
Methods: The study included a total of 77 patients aged over 70 years with an AO type 31-A1 or 31-A2 fracture. (journaltocs.ac.uk)
Adverse events on intraoperative fracture and subsidence were significantly less common in patients with Pattern A than in those with Pattern B (six of 42 hips with Pattern A and 13 of 29 hips with Pattern B, p = 0.004). (sicot-j.org)
As a result of the osteolysis and wear, patients are at increased risk of several consequences, including periprosthetic fractures from simple falls or minor trauma, aseptic loosening of the prosthesis, or dislocation of the prosthesis. (fixbones.com)

INTRODUCTION: Bridge plating of distal femur fractures with lateral locking plates is susceptible to varus collapse, fixation failure, and nonunion. (stanford.edu)
While medial and lateral dual plating has been described in clinical series, the biomechanical effects of dual plating of distal femur fractures have yet to be clearly defined. (stanford.edu)
to simulate comminuted extraarticular distal femur fractures (AO/OTA 33A). (stanford.edu)
however, overzealous implantation can cause femur fractures [ 7 , 11 ], whereas inadequate force can result in postoperative subsidence. (sicot-j.org)

[ 1 ] Interprosthetic fractures are fractures that occur between two prostheses or implants (usually a femur fracture between a total knee replacement and a total hip replacement. (medscape.com)
[ 13 ] Rates of nonunion for supracondylar fractures proximal to total knee prostheses are higher than those for supracondylar fractures without the implant. (medscape.com)
Background and aim of the work: The incidence of periprosthetic knee fractures is steadily increasing, especially in the geriatric population. (units.it)
The significant impact of periprosthetic knee fractures on the medium-to long-term survival and quality of life of the elderly patient is confirmed. (units.it)
The surgical methods for periprosthetic distal femoral fractures (PDFFs) after total knee arthroplasty included locking compression plate (LCP), retrograde intramedullary nailing (RIMN), and distal femoral replacement (DFR). (biomedcentral.com)
0.001), and periprosthetic mechanical complications including but not limited to periprosthetic fractures, knee dislocations, patellar maltracking, and subluxations (1.1% in PD group, 0.6% in control group, P = 0.024) in the PD group. (elsevierpure.com)
Outcomes included cumulative incidence of revision and reoperation (utilizing a competing risk model), Knee Society scores, and radiographic results. (elsevierpure.com)

More than 300,000 hip fractures occur yearly, and almost all are treated operatively with internal fixation or prosthetic replacement. (medscape.com)
Improvements in cancer treatment also have resulted in longer life spans with increased likelihood of metastatic bone lesions and impending or actual pathologic fractures that require internal fixation. (medscape.com)
Conclusion: Internal fixation is a valuable and safe option for distal femur periprosthetic fracture treatment in the elderly. (units.it)
In March 2011, a fifty-year-old man underwent a THA with CoC bearings (BIOLOX, Smith & nephew, Switzerland) on the right side at our clinic because of femoral head necrosis after internal fixation for femoral neck fracture for 4 years. (biomedcentral.com)

One dosage of topical tranexamic acid may be given to an older patient undergoing bipolar hemiarthroplasty for a fractured femoral neck in order to minimize post-operative blood loss. (ijoro.org)
The WHiTE5 trial, a multicenter, randomized, controlled trial, has provided valuable insights into the use of bone cement in hip fractures treated with hemiarthroplasty. (visualmed.org)
Furthermore, the trial assessed the occurrence of periprosthetic fractures, a potential complication of hemiarthroplasty. (visualmed.org)
In conclusion, the WHiTE5 trial has provided important evidence regarding the use of bone cement in hemiarthroplasty for intracapsular hip fractures. (visualmed.org)
Additionally, the use of cemented hemiarthroplasty was associated with a lower risk of periprosthetic fractures. (visualmed.org)

The rate of osteolysis increases with time, and osteolytic bone defects are stress risers, which predispose the patient to fractures. (medscape.com)
The ability of tumor to "outgrow" a fixation device and the reduced ability of irradiated or tumor-replaced bone to heal fractures also result in an increasing frequency of peri-implant fractures. (medscape.com)
The original placement of the implant may predispose to later fracture, the long-term presence of the device may change the structure of the bone and increase susceptibility to fracture, and the implant itself may interfere with healing or the placement of other fixation devices. (medscape.com)
As these fractures typically occur in older adults with poor bone quality and medical comorbidities, treatment is challenging and outcomes remain dismal, with a 1-year mortality rate up to 27% [ 5 ]. (biomedcentral.com)
A bone fracture (abbreviated FRX or Fx , F x , or # ) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. (wikipedia.org)
In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture . (wikipedia.org)
[1] A bone fracture may be the result of high force impact or stress , or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis , osteopenia , bone cancer , or osteogenesis imperfecta , where the fracture is then properly termed a pathologic fracture . (wikipedia.org)
Other complications may include non-union, where the fractured bone fails to heal, or malunion, where the fractured bone heals in a deformed manner. (wikipedia.org)
One form of malunion is the malrotation of a bone, which is especially common after femoral and tibial fractures. (wikipedia.org)
Stages in Fracture Repair: The healing of a bone fracture follows a series of progressive steps: (a) A fracture hematoma forms. (wikipedia.org)
The natural process of healing a fracture starts when the injured bone and surrounding tissues bleed, forming a fracture hematoma . (wikipedia.org)
Locked plate technology for fixation of fractures associated with poor bone quality has expanded in recent years. (scielo.org.za)
Extensive injuries and tissue defects that accompany bone fractures and articular surface injuries require special management. (npwtj.com)

Proximal humeral fractures account for around 5% of humeral fractures. (scielo.org.za)

[ 9 ] Abdel et al reported a 12% incidence of intraoperative fracture in revision total hip replacement. (medscape.com)
In 71 THAs, we quantified the sound produced during stem insertion and investigated the relationship between these sounds and the occurrence of intraoperative fracture and subsidence. (sicot-j.org)

The aims of treatment are the same, including 'getting it right first time' with a single operation, which allows immediate unrestricted weightbearing, with a low risk of complications, and one that avoids the creation of stress risers locally that may predispose to further peri-implant fracture. (boneandjoint.org.uk)
Complications can be listed as implant cut out, non union, implant failure, peri implant fracture and general medical complications. (traumainternational.co.in)

Coles CP, Gross M. Closed tibial shaft fractures: management and treatment complications. (npwtj.com)

They are similar to pathological fractures in many ways. (boneandjoint.org.uk)

0.001).Conclusions:The strategy of selectively utilizing a collarless, polished, tapered cemented stem produced a low (4%) cumulative incidence of stem revision at 10 years postoperatively and resulted in no cases of aseptic loosening. (elsevierpure.com)

Outcomes of displaced adolescent distal third tibia fractures: can we do better? (ucdenver.edu)

Fractures around joint replacement prostheses are commonly called periprosthetic fractures, whereas fractures around plates, rods, or prostheses can be more generally termed peri-implant fractures. (medscape.com)
Nonprosthetic peri-implant fractures may be considered to represent a separate entity. (medscape.com)
The implant may impair fracture healing because of endosteal ischemia. (medscape.com)
The techniques for treating peri-implant fractures may be more difficult, with more limited options and more frequent complications than the techniques used in treating fractures without the presence of an implant. (medscape.com)
However, data on this "selective use" strategy for cemented stems in the population at risk for periprosthetic fracture and implant loosening are limited. (elsevierpure.com)
Major complications can be avoided by understanding the personality of the fracture and by choosing correct implant. (traumainternational.co.in)

The use of reverse total shoulder arthroplasty for the management of complex proximal humerus fractures has gained popularity in the last five to ten years. (scielo.org.za)
We present a concise review of conservative and surgical treatment of proximal humerus fractures and a more detailed review of published series of reverse shoulder arthroplasty for fracture treatment. (scielo.org.za)
However, there is conflicting evidence regarding the outcomes when used for proximal humerus fractures. (scielo.org.za)
Conclusions: Proximal femoral nailing can be one of the primary treatment options for intertrochanteric hip fractures in the elderly. (journaltocs.ac.uk)

Intrertrochanteric fractures are not very prone for complications, however when complications do occur they are quite disabling and challenging. (traumainternational.co.in)
Intraoperative femoral fractures occur in 3.0%-5.4% of primary THA and in 19.0%-20.9% of revision THA procedures [ 6 , 7 , 9 , 10 ]. (sicot-j.org)

While most simple, minimally or non-displaced fractures can be managed successfully with non-operative means, the more complex three- and four-part displaced fractures remain difficult to treat and have worse outcomes. (scielo.org.za)
In order to evaluate the benefits and risks of the various surgical techniques, it is important first to understand the natural history of non-operatively managed fractures, and to know the outcomes of the different surgical options. (scielo.org.za)
Previously used classification system of Boyd & Griffiths had poor inter and intra-observer reliability and were used commonly to describe fracture patterns rather than predict outcomes. (traumainternational.co.in)

Cumulative Long-Term Incidence of Postoperative Periprosthetic Femoral Fractures Using an Uncemented Tapered Titanium Hip Stem: 26- to 32-Year Results. (uni-linz.ac.at)
David Peitgen , M. M. Innmann , Christian Merle , Tobias Gotterbarm , Babak Moradi , Marcus Streit , "Cumulative Long-Term Incidence of Postoperative Periprosthetic Femoral Fractures Using an Uncemented Tapered Titanium Hip Stem: 26- to 32-Year Results. (uni-linz.ac.at)
The use of the Exeter stem did not eliminate postoperative femoral fractures in this predominantly elderly, female patient population.Level of Evidence:Therapeutic Level IV. (elsevierpure.com)

This annotation describes the approaches to the femur that can be used to facilitate the surgical management of peri- and interprosthetic fractures of the femur at all levels using either modern methods of fixation or revision arthroplasty. (boneandjoint.org.uk)

Dr. Goodnough has conducted research on the role of skeletal stem cells in fracture healing. (stanford.edu)
Topics have included the effects of non-steroidal anti-inflammatory drugs on skeletal stem cells in fractures. (stanford.edu)
Although surgeons must perform sufficiently firm implantation without fracturing the femur, assessment of the appropriate force and stem stability is usually left to the surgeon's intuitive judgement. (sicot-j.org)

They are the third most common non-vertebral fragility fracture after the hip and distal radius. (scielo.org.za)

The paradigm is shifting for intertrochanteric fractures globally. (traumainternational.co.in)
Complication rates such as screw cut outs have been reported to be as high as 50% in cases of unstable IT fractures ( 1) There have been some recent insights with regard to fracture pattern which have drastically improved our understanding of intertrochanteric fractures. (traumainternational.co.in)
When the lateral femoral wall is fractured, the fracture line is parallel to the sliding vector of the sliding hip screw, which, as in the reverse oblique intertrochanteric fracture, allows the trochanteric and femoral head and neck fragments to slide laterally and the shaft to slide medially. (traumainternational.co.in)

Understanding the risks associated with the presence of microsporidia in periprosthetic joint infections is essential for proper management of arthroplasty. (cdc.gov)
Prophylactic Intrawound Antibiotics Significantly Reduce the Risk of Deep Infections in Fracture Fixation: Subgroup Meta-analyses of the Type of Fracture, Antibiotics, and Organism. (ucdenver.edu)
His clinical interests include nonunions, periarticular fractures, fractures of the pelvis and acetabulum, and infections. (stanford.edu)

CONCLUSIONS: The incidence of PPFs did not seem to change during the lockdown. (bvsalud.org)

Ganapathi M, Lake DN, Griffiths AP: Periprosthetic high-grade B-cell lymphoma complicating an infected revision total hip arthroplasty. (karger.com)

Periprosthetic fracture was observed in 4 out of 10 hips from group 'A' and in 6 from 81 hips from group 'B'. The differences were statistically significant. (czytelniamedyczna.pl)

But the most commonly used classification currently is the AO/OTA classification, which classifies IT fractures into three types: 31A1, 31 A2 and 31A3 with increasing instability as the grade increases. (traumainternational.co.in)

[5] Complications of fractures may be classified into three broad groups, depending upon their time of occurrence. (wikipedia.org)

The article shows a case report of a patient with a traumatic subcapital humerus fracture complicated by a haematoma and then by a periarticular abscess. (npwtj.com)

The aim of this study was to determine the incidence of periprosthetic fractures occurring and to assess the results of treatment of this complication. (czytelniamedyczna.pl)

Revision for Peri-Prosthetic Femoral Fracture after Primary THR. (sahmri.com)
Pedersen AB , Johnsen SP , Overgaard S , Søballe K , Sørensen HT , Lucht U . Total hip arthroplasty in Denmark: Incidence of primary operations and revisions 1996-2002 and estimated future demands. (danskhoftealloplastikregister.dk)

Radiographic healing of the fracture occurred in 92% of cases. (units.it)
Radiographic examination suggested a fracture of ceramic head of the right THA. (biomedcentral.com)

The mean follow-up was 5 years (range, 2 to 12 years).Results:The 10-year cumulative incidence of any femoral component revision in this patient cohort was 4%, with 10 stems revised at the time of the latest follow-up. (elsevierpure.com)

O'Shea K, Kearns SR, Blaney A, Murray P, Smyth HA, McElwain JP: Periprosthetic malignancy as a mode of failure in total hip arthroplasty. (karger.com)

Anatomy4

Diseases29

Chemicals and Drugs8

Analytical, Diagnostic and Therapeutic Techniques and Equipment32

Phenomena and Processes8

Technology, Industry, Agriculture5

Humanities1

Information Science2

Health Care8

Geographicals1

Infection9

Cumulative incidences of revision2

Patients28

Femur fractures4

Knee7

Internal fixation4

Hemiarthroplasty5

Bone13

Humeral1

Intraoperative fracture2

Peri-implant fracture2

Tibial1

Pathological fractures1

Aseptic1

Tibia Fractures1

Implant6

Proximal4

Occur2

Outcomes3

Postoperative3

Interprosthetic1

Stem3

Fragility1

Intertrochanteric3

Infections3

Conclusions1

Revision total1

Statistically significant1

Instability1

Occurrence1

Periarticular1

Treatment1

Primary2

Radiographic2

Stems1

Total1