Nperiprosthetic fracture management pdf

Management and outcome of periprosthetic fractures after. Surgical treatment is guided by the pattern and classification of the injury. Improper initial management of fractures can lead to significant longterm. Pdf treatment of periprosthetic acetabular fractures. This is an enhanced pdf from the journal of bone and joint surgery. Treat the fracture treatment of periprosthetic fractures. Broken bones, broken lives international osteoporosis.

The surgical approach also varies according to the fracture type and. Fracture after total hip replacement orthoinfo aaos. Tka options nonoperative limited weightbearing brace, cast operative retrograde intramedullary nail orif with fixed angled device blade plate dcs locking plates revision tka rorabecktype iii rorabeck types i and ii retrograde nail. The definitive assessment injury requires an experience surgeon as it determines the treatment protocol as well as the choice of implant for fracture fixation. Orthopaedic trauma association periprosthetic fractures. General principles of fracture management and bone healing.

The treatment of these fractures still represents one of the major challenges for the. Evaluation and management intraoperative periprosthetic fractures during total hip this information is current as of september 2, 2008. One of the primary concerns with regards to the repair of panfacial fractures is airway management. Classification and management periprosthetic fracture represents a serious complication of both primary and revision total hip arthroplasty. Pelvic, trauma, management, guidelines, mechanic, injury, angiography, reboa, abo, preperitoneal pelvic packing, external fixation, internal. Pdf treatment of periprosthetic acetabular fractures after previous. Intraoperative periprosthetic fractures during total hip. Time intervals in the treatment of fractured femurs as indicators of the. Intraoperative periprosthetic fractures are becoming more. Pdf objective treatment of displaced periprosthetic acetabular fractures in elderly patients. Although a fracture may occur during a hip replacement procedure, the majority of periprosthetic fractures occur after a patient has spent years functioning well with a hip. This textbook accumulates the latest global knowledge on periprosthetic fractures, including all relevant anatomical regions, surgical pitfalls, complex cases, and a brand new comprehensive unified classification system, ucs on periprosthetic fractures, combining the. A radiograph taken 6 weeks after surgery and before the fall is shown in figure 10a. Treatment of periprosthetic fractures around a total hip arthroplasty tha is based on fracture timing, whether the fracture occurred intraoperatively or postoperatively, and fracture location, whether the acetabulum or the femur.

199 29 384 480 1522 388 1172 931 174 428 1425 815 1331 1082 779 129 1249 141 171 260 380 84 417 493 378 1480 855 929 1181 1144 344 156 525 1412 694 292 271 263 590 598 1242