Obbelode F, Landschoof S, Kreitz N, Kühne CA. [Periprosthetic fractures-Diagnostics, classification and treatment].
Z Gerontol Geriatr 2023;
56:688-696. [PMID:
36459188 DOI:
10.1007/s00391-022-02139-y]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 10/26/2022] [Indexed: 12/04/2022]
Abstract
BACKGROUND
Due to the increase in hip and knee prosthetic as a result of the demographic changes, with raised levels of activity among older persons with geriatric comorbidities, a continuous increase in periprosthetic fractures can be observed.
OBJECTIVE
The incidence and causes of periprosthetic fractures, presentation of diagnostic pathways and derivation of a recommendation according to generally accepted classifications.
MATERIAL AND METHOD
Literature search of basic scientific work, recommendations of experts as well as evaluation of own patient collective.
CONCLUSION
With a growing number of prosthetic interventions in combination with increasing patient age, an increase in periprosthetic fractures is to be expected. The treatment of periprosthetic fractures is complex and requires detailed analysis of the location of the fracture and its morphology as well as the recognition of possibly loosened prosthetic material. Based on this information, the correct surgical treatment can be determined and scheduled in an appropriate center of care. In geriatric patients with corresponding comorbidities, an individual holistic treatment plan should be developed.
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