The Treatment of Periprosthetic Upper Extremity Fractures in 2025: A Comprehensive Evidence-Based Approach

Area of Science:

• Orthopedic Surgery
• Upper Extremity Reconstruction
• Arthroplasty Complications

Background:

• The number of upper extremity arthroplasty procedures is rising.
• This trend is associated with an expected increase in periprostrosthetic fractures.
• Effective management strategies for these fractures are crucial.

Purpose of the Study:

• To review the workup and management of periprosthetic shoulder and elbow fractures.
• To discuss technical considerations for surgical treatment.
• To synthesize recent evidence on managing these injuries.

Main Methods:

• Literature review of recent evidence.
• Analysis of diagnostic and treatment approaches.
• Synthesis of technical considerations for surgical management.

Main Results:

• Increasing incidence of periprosthetic upper extremity fractures necessitates updated management guidelines.
• A systematic approach to workup and management is essential.
• Technical nuances are critical for successful surgical outcomes.

Conclusions:

• Prompt evaluation and appropriate management are key for periprosthetic fractures.
• Reviewing recent evidence ensures optimal patient care.
• Understanding technical considerations improves surgical results in upper extremity fracture management.