Periprosthetic Fracture Management

Periprosthetic Fracture Management By Dr. Palash Gupta Fellowship-Trained Orthopedic & Joint Replacement Surgeon – Germany | New Zealand Yatharth Super Speciality Hospital, Model Town | Rohini Clinic, New Delhi 💡 What is a Periprosthetic Fracture? A Periprosthetic Fracture is a bone fracture that occurs around a joint implant, such as a hip, knee, or shoulder replacement. These fractures are becoming more common as joint replacements become more widespread and people live longer with their implants. These injuries can range from minor cracks to complex fractures and may occur during a fall, accident, or even due to weakened bone around the implant. 🤕 Common Causes Trauma or falls (especially in elderly patients) Loosening of the implant over time Poor bone quality (osteoporosis) Infection or previous surgery weakening the surrounding bone 📍 Where Can Periprosthetic Fractures Occur? Around a hip prosthesis (most common) Around a knee replacement implant Around a shoulder or elbow implant ⚠️ Why Are These Fractures Challenging? Periprosthetic fractures are complex and difficult to treat due to: The presence of a metal implant Compromised bone quality Risk of implant loosening or failure Need for specialized implants and surgical expertise This is why it’s essential to consult a joint replacement and trauma specialist like Dr. Palash Gupta, who is trained in managing such complex cases. 🩺 Treatment Options The treatment depends on: Location and type of fracture Stability of the implant Patient’s age and bone quality 1. Non-Surgical Management Rarely used; only for very stable fractures and low-risk patients Involves immobilization, pain management, and physiotherapy 2. Surgical Management ✅ Fracture Fixation Using plates, screws, or rods to stabilize the fracture without changing the implant Suitable when the implant is stable and well-fixed ✅ Revision Joint Replacement If the implant is loose or damaged, it may need to be replaced with a new, more secure prosthesis May involve bone grafts or custom implants in severe cases ✅ Modular or Long-Stem Implants Provide additional support across the fracture site Commonly used in hip and knee periprosthetic fractures 🔁 Recovery & Rehabilitation Hospital Stay: 3–7 days depending on surgery type Weight-bearing: Depends on fracture and implant stability Physiotherapy: Begins early to prevent stiffness and muscle loss Recovery Time: 3–6 months or more Close post-operative monitoring is essential to avoid complications and ensure optimal healing. 👨‍⚕️ Why Trust Dr. Palash Gupta? Dr. Palash Gupta has extensive experience in managing complex trauma, revision joint replacement, and periprosthetic fractures. ✅ International Fellowships in Arthroplasty & Trauma – Germany & New Zealand ✅ Skilled in revision surgeries and advanced fixation techniques ✅ Uses modern implants and custom solutions for challenging cases ✅ Emphasis on early mobilization and long-term function 📍 Clinic Address: 190, Pocket-D 14, Sector 7, Opp. Metro Pillar No. 415, Rohini, New Delhi – 110085 🏥 Also Practicing at: Yatharth Super Speciality Hospital, Model Town, New Delhi 📞 Book an Appointment Today If you or a loved one has suffered a fracture around a joint implant, consult Dr. Palash Gupta for expert, advanced, and compassionate care.

Reverse Shoulder Replacement Surgery By Dr. Palash Gupta Fellowship-Trained Joint Replacement Surgeon – Germany | New Zealand Yatharth Super Speciality Hospital, Model Town | Rohini Clinic, New Delhi 💡 What is Reverse Shoulder Replacement? Reverse Shoulder Replacement is an advanced surgical procedure used to treat complex shoulder problems, especially when the rotator cuff muscles are severely damaged or torn. Unlike traditional shoulder replacement (where the ball-and-socket structure is kept as-is), in reverse shoulder arthroplasty, the positions are reversed: A metal ball is placed on the shoulder socket A plastic socket is attached to the upper arm bone This unique design allows the deltoid muscle to take over the function of the damaged rotator cuff, enabling the patient to regain arm movement. 🤕 Who Needs Reverse Shoulder Replacement? This surgery is ideal for patients who have: Massive, irreparable rotator cuff tears Rotator cuff tear arthropathy (arthritis due to torn rotator cuff) Failed previous shoulder surgeries Complex shoulder fractures (especially in elderly patients) Severe shoulder arthritis with muscle dysfunction ⚙️ How is it Different from Regular Shoulder Replacement? Traditional Shoulder Replacement Reverse Shoulder Replacement Requires healthy rotator cuff Uses deltoid muscle instead Suitable for arthritis without cuff tears Best for cuff tear arthropathy or failed surgeries Ball is on upper arm, socket on shoulder Ball is on shoulder, socket on upper arm 🛌 What to Expect During Surgery Surgical Time: Around 2 hours Hospital Stay: 2–4 days Rehabilitation: Begins early with physiotherapy Recovery Time: 3–6 months for full function Post-op Care: Sling support for 3–4 weeks, followed by structured exercises ✅ Benefits of Reverse Shoulder Replacement Significant pain relief Improved arm function even without rotator cuff Restores ability to perform daily activities (eating, dressing, reaching) Effective solution when other surgeries have failed ⚠️ Are There Any Limitations? Lifelong lifting restrictions (usually up to 5–7 kg) May not restore full range of motion As with any joint replacement, there is a small risk of infection, implant loosening, or nerve injury However, proper surgical technique and post-operative care minimize these risks. 👨‍⚕️ Dr. Palash Gupta: Expert in Complex Shoulder Surgeries With international fellowships in Germany and New Zealand, Dr. Palash Gupta is among the few orthopedic surgeons in Delhi with extensive experience in Reverse Shoulder Arthroplasty. ✅ Advanced training in shoulder joint reconstruction ✅ Uses latest-generation implants for long-lasting results ✅ Personalized rehab programs for faster recovery ✅ Trusted name in revision and complex joint replacement surgeries 📍 Clinic Address: 190, Pocket-D 14, Sector 7, Opp. Metro Pillar No. 415, Rohini, New Delhi – 110085 🏥 Also Practicing at: Yatharth Super Speciality Hospital, Model Town, New Delhi 📞 Book Your Appointment Today Don’t let chronic shoulder pain limit your life. Explore whether Reverse Shoulder Replacement is right for you.

Elbow Replacement Surgery By Dr. Palash Gupta Fellowship-Trained Joint Replacement Surgeon – Germany | New Zealand Practicing at Yatharth Super Speciality Hospital, Model Town & Rohini Clinic, New Delhi 💡 What is Elbow Replacement? Elbow Replacement Surgery (also called Total Elbow Arthroplasty) is a procedure in which a damaged or diseased elbow joint is replaced with a metal and plastic implant. It is done to relieve pain, restore mobility, and improve arm function in patients with severe joint damage. While less common than hip or knee replacement, elbow replacement is a highly effective solution for certain patients when performed by an experienced surgeon. 🤕 Who Needs Elbow Replacement? Elbow replacement is recommended in the following conditions: Severe rheumatoid arthritis or osteoarthritis of the elbow Post-traumatic arthritis (after old fractures or injuries) Complex or unhealed elbow fractures, especially in elderly patients Elbow joint deformity with pain and stiffness Failed previous elbow surgeries ⚙️ Types of Elbow Replacement There are two main types of elbow replacements: 1. Total Elbow Replacement Both sides of the elbow joint (humerus and ulna) are replaced with a hinged prosthesis Most common in cases of arthritis and complex fractures 2. Partial Elbow Replacement Only a portion of the joint is replaced Used in select cases where damage is limited Dr. Palash Gupta will recommend the most suitable option based on your condition, age, and activity level. 🛌 What to Expect During Surgery Surgery Time: 1.5 to 2 hours Hospital Stay: Typically 2–3 days Anesthesia: Regional or general Recovery: Arm is supported in a splint initially Physiotherapy: Starts within a few days to regain range of motion Full Recovery: Usually in 3–4 months ✅ Benefits of Elbow Replacement Significant pain relief Restored range of motion and strength Improved daily function (e.g., eating, dressing, lifting light objects) Better quality of life, especially in patients with chronic elbow conditions ⚠️ Risks & Considerations As with any joint replacement surgery, elbow replacement carries some risks: Infection Implant loosening or wear Nerve injury Limited lifting capacity (lifelong limit of 2–5 kg in many cases) Dr. Palash Gupta takes great care in minimizing risks through precise surgical techniques, modern implants, and comprehensive post-operative care. 🧑‍⚕️ Why Choose Dr. Palash Gupta? Dr. Palash Gupta brings extensive expertise in complex joint surgeries, backed by: ✅ International training in Arthroplasty (Germany & New Zealand) ✅ Experience in managing trauma-related elbow conditions ✅ Advanced knowledge of joint biomechanics and implant design ✅ Compassionate care with personalized treatment planning 📍 Clinic Address: 190, Pocket-D 14, Sector 7, Opp. Metro Pillar No. 415, Rohini, New Delhi – 110085 🏥 Also Practicing at: Yatharth Super Speciality Hospital, Model Town 📞 Book Your Consultation Today Let us help you regain pain-free movement in your elbow and improve your quality of life. Dr. Palash Gupta – Expertise you can trust in Joint Replacement & Orthopedic Surgery