Paraprosthetic Hip Fracture
What is a Paraprosthetic Hip Fracture?
A paraprosthetic hip fracture is a fracture that occurs around a hip prosthesis. It is a serious complication in patients who have undergone hip replacement surgery.
- Occurs near or around the prosthetic implant
- Often seen in elderly patients with hip replacements
Overview of the Condition
This type of fracture can compromise the stability of the implant and requires careful management.
Symptoms
- Severe hip pain following trauma
- Inability to bear weight
- Deformity around the hip implant
Causes
Often caused by a fall or minor trauma in patients with weakened bone quality around the implant.
Diagnosis
Diagnosis is based on clinical assessment and imaging studies such as X-rays and CT scans.
Treatment Options
- Surgical fixation or revision of the implant
- Postoperative rehabilitation
- Management of underlying osteoporosis
Conservative Management
In select cases, limited non-surgical management may be considered; however, most require surgical intervention.
Rehabilitation Exercises
- Postoperative range-of-motion exercises
- Strengthening of surrounding muscles
- Gait training and balance exercises
Surgical Options
Surgical management typically involves revision fixation or implant revision to stabilize the fracture.
Anatomy Overview
This fracture occurs in the proximal femur, around the area of the hip prosthesis.
Affected Areas
- Proximal femur near the implant
- Hip joint region
Frequently Asked Questions
| Question | Answer |
|---|---|
| What are the treatment challenges? | Stabilizing the fracture around an implant can be complex. |
| Is revision surgery common? | Yes, revision surgery is often required to manage these fractures. |
Prevention Strategies
- Optimize bone health through nutrition and medications
- Implement fall prevention strategies
- Regular follow-up after hip replacement