Description
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.
