[Periprosthetic fractures-Diagnostics, classification and treatment]

Area of Science:

• Orthopedic surgery
• Geriatric medicine
• Biomaterials science

Context:

• Increasing prevalence of hip and knee arthroplasty.
• Demographic shifts towards an aging population.
• Higher activity levels in elderly individuals with comorbidities.

Purpose:

• To investigate the incidence and causes of periprosthetic fractures.
• To outline diagnostic pathways for these fractures.
• To provide recommendations based on established classifications.

Summary:

• Periprosthetic fractures are expected to rise with more prosthetic surgeries and an aging population.
• Treatment is complex, necessitating fracture location and morphology analysis, and assessment for prosthetic loosening.
• Tailored surgical strategies and holistic treatment plans are crucial, especially for geriatric patients.

Impact:

• Informs surgical decision-making for complex fracture cases.
• Highlights the need for specialized centers of care.
• Emphasizes personalized treatment approaches for elderly patients with comorbidities.