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Related Concept Videos

Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Related Experiment Video

Updated: Mar 9, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Long-Term Function following Periprosthetic Fractures.

J Zwingmann, M Krieg, F Thielemann

    Acta Chirurgiae Orthopaedicae Et Traumatologiae Cechoslovaca
    |December 28, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Revision arthroplasty for periprosthetic fractures led to significantly less pain and better functional outcomes compared to open reduction and internal fixation (ORIF). This suggests revision arthroplasty may be a superior treatment for these complex traumatic injuries.

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    Area of Science:

    • Orthopedic Surgery
    • Trauma Surgery
    • Arthroplasty

    Background:

    • Periprosthetic fractures are challenging complications following joint replacement surgery.
    • Treatment options include open reduction and internal fixation (ORIF) or revision arthroplasty.
    • Long-term outcomes comparing these methods are crucial for clinical decision-making.

    Purpose of the Study:

    • To compare the clinical results of long-term follow-up after traumatic periprosthetic femur fractures treated with either ORIF or revision arthroplasty.
    • To evaluate patient functionality and pain levels using validated scoring systems.

    Main Methods:

    • A cohort of patients with periprosthetic hip and knee fractures was retrospectively analyzed.
    • Outcome and functionality were assessed using the Visual Analog Scale (VAS), Harris-Hip-Score (HHS), Oxford-Hip-Score (OHS), Oxford-Knee-Score (OKS), Knee-Society-Score (KSS), SF-36 Questionnaire, and Funktionsfragebogen Hannover (FFH).
    • Radiological examinations and classifications (Vancouver for THA, Lewis and Rorabeck for TKA) were utilized.

    Main Results:

    • Revision hip arthroplasty resulted in significantly lower VAS pain scores (3.9±1) compared to ORIF (5.1±1.7) (p<0.05).
    • Higher rates of excellent/good results were observed in the revision arthroplasty group for hip (HHS: 5/16 vs. 3/23) and knee (OHS: 12/16 vs. 10/23) compared to ORIF.
    • Limited data for periprosthetic knee fractures showed lower functional scores after ORIF.

    Conclusions:

    • Revision arthroplasty demonstrated superior outcomes with lower pain and higher functional scores compared to ORIF for periprosthetic fractures.
    • These findings suggest revision arthroplasty may offer better long-term results for managing these complex fractures.