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Epidemiology: hip and knee.

D J Berry1

  • 1Associate Professor of Orthopaedic Surgery, Mayo Medical School; and Consultant, Orthopaedic Surgery, Mayo Clinic, Rochester, Minnesota, USA.

The Orthopedic Clinics of North America
|April 10, 1999
PubMed
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This review examines periprosthetic fractures after hip and knee replacement, highlighting how fracture causes and risks differ by location. Understanding these epidemiologic features is key for preventing and managing these complications.

Area of Science:

  • Orthopedic Surgery
  • Epidemiology
  • Arthroplasty

Background:

  • Periprosthetic fractures are serious complications following total hip arthroplasty (THA) and total knee arthroplasty (TKA).
  • Fracture characteristics vary significantly based on their anatomical location around the implant.

Purpose of the Study:

  • To review the epidemiologic features of periprosthetic fractures around THA and TKA.
  • To analyze how fracture occurrence, causes, and risk factors differ by anatomic site.

Main Methods:

  • Literature review focusing on periprosthetic fractures around hip and knee replacements.
  • Analysis of epidemiologic data stratified by fracture location.

Main Results:

  • The frequency and etiology of intraoperative and postoperative periprosthetic fractures are site-specific.

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  • Demographic and technical risk factors are uniquely associated with fracture risk at different anatomic sites.

    • Conclusions:

    • Epidemiologic patterns of periprosthetic fractures around total joint replacements are distinct for each anatomical site.
    • Targeted understanding of site-specific risk factors is crucial for fracture prevention and management strategies.