Relevant bibliographies by topics / Periprosthetic Injuries

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  1. Journal articles
  2. Dissertations / Theses
  3. Book chapters
  4. Conference papers

Academic literature on the topic 'Periprosthetic Injuries'

Author: Grafiati
Published: 6 September 2023
Last updated: 7 September 2023

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Journal articles on the topic "Periprosthetic Injuries"

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Ragland, Katelyn, Steven M. Cherney, Jeffrey B. Stambough, and Simon C. Mears. "Open Periprosthetic Knee Fracture: A Case Report and Review of the Literature." Geriatric Orthopaedic Surgery & Rehabilitation 11 (January 1, 2020): 215145932093954. http://dx.doi.org/10.1177/2151459320939547.

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Introduction: With the increase in knee and hip implants, these periprosthetic fractures will become more common especially as the population ages. Open periprosthetic fractures are rare and severe injuries and are more likely to be seen in high-energy injuries. They present challenges to the treating physician due to soft tissue damage, contamination of the existing implants, and the effects of polytrauma in the geriatric patient. Methods: . Results A 72-year-old woman was involved in a motor vehicle collision with multiple injuries including an open periprosthetic tibia and femur fracture. This was treated with initial washout and removal of loose tibial component with placement of a cement spacer. The knee was treated with staged revision using a protocol like that used after prosthetic joint infection. After complete soft tissue healing, the patient underwent successful revision with a megaprosthesis. The literature on open periprosthetic fractures is reviewed. Discussion and Conclusion: Open periprosthetic fractures present multiple challenges to the orthopedic surgeon. In the presences of poly trauma and soft tissue injury, we present an approach using staged surgery like that used for prosthetic joint infection.
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Paigude, Prithviraj Anil, Rahul Puranik, Shubham Nitin Katti, Saiel Kumarjuvekar, Hitarth Gathani, and Rohit Jadhav. "A case of staged revision cementless Total Hip Arthroplasty following post traumatic periprosthetic Vancouver type B fracture after hemiarthroplasty." Indian Journal of Orthopaedics Surgery 8, no. 4 (November 15, 2022): 302–5. http://dx.doi.org/10.18231/j.ijos.2022.056.

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The overall incidence of different types of periprosthetic fractures is on the rise constantly due to the increasing volume of primary joint arthroplasties and revision arthroplasties. Skills pertaining to advanced complex trauma and arthroplasty are necessary to manage these injuries. Inspite of various algorithms and classifications available regarding management of these injuries, it is necessary for the treating surgeon to understand that the treatment of periprosthetic fractures needs to be individualised optimal for that particular patient. We present our experience in a case of post traumatic periprosthetic Vancouver type B fracture after hemiarthroplasty treated with staged revision cementless long stem Total Hip Arthroplasty(THA).
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Mahajan, Neetin P., Kunal Chaudhari, Ravi Patel, Pramod Bagimani, and Akshay Gund. "The management of complex periprosthetic femoral fractures: a case series of plating with wire augmentation, and a review of the literature." International Journal of Research in Orthopaedics 8, no. 6 (October 27, 2022): 711. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20222711.

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<p class="abstract">Periprosthetic fractures continue to increase in frequency. This is due, in part, to the increasing number of primary and revision arthroplasties performed annually and to the increasing age and fragility of patients with such implants. All types of periprosthetic fractures can present unique and substantial treatment challenges. Here we present a case series of 3 elderly patients who came to us with periprosthetic hip fractures in previously operated case of hip hemiarthroplasty/total hip replacement done. The injuries were managed with splintage and operative procedures. Postoperatively mobilization was challenging. But patients were successfully mobilized with the help of relatives and physiotherapists. Periprosthetic fractures are becoming quite common in elderly and difficult to treat as the number of hip joint arthroplasty operative has increased in developing countries. the correct procedure is very challenging as every case needs to be treated very individualistically. A good plan always results in much reduction in the operating time and better patient post operative outcome. Postoperatively mobilization of patient and functional outcome is hampered. Proper counselling by operating surgeon, physiotherapy and postoperative rehabilitation with the help of relatives and assisting devices provides good outcome. So that early appropriate treatment and mobilization can be done with good functional outcome.</p>
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4

Borade, Amrut, Daniela Sanchez, Harish Kempegowda, Hemil Maniar, Rodrigo Pesantez, Michael Suk, and Daniel Horwitz. "Minimally Invasive Plate Osteosynthesis for Periprosthetic and Interprosthetic Fractures Associated with Knee Arthroplasty: Surgical Technique and Review of Current Literature." Journal of Knee Surgery 32, no. 05 (March 28, 2019): 392–402. http://dx.doi.org/10.1055/s-0039-1683443.

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AbstractWith the increasing number of total knee arthroplasties (TKAs) being performed, the incidence of periprosthetic fractures adjacent to a TKA is rising. Minimally invasive plate osteosynthesis (MIPO) has proven to be successful for the biological fixation of many fractures. Advances in surgical instrumentation and techniques made MIPO possible for more complex fractures. Periprosthetic fractures are always complicated by problems of soft tissue incisions, scarring, and, of course, the arthroplasty components. MIPO techniques may be particularly suited to these injuries and may make the surgical repair of these fractures safer and more reliable. In this review, case examples are used to define the indications, preoperative planning, implant selection, complications, limitations, and challenges of MIPO for the treatment of periprosthetic fractures about the knee. When considering MIPO for any fracture, we recommend prioritizing an acceptable reduction with biological fixation and resorting to mini-open or open approach when necessary to achieve it. Awareness of the learning curve of the surgical technique, advances in implant designs, the tips and tricks involved, and the limitations of the MIPO is of paramount importance from the orthopaedic surgeon's perspective.
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Chen, Alvin Chao-Yu, You-Hung Cheng, Chih-Hao Chiu, Chun-Ying Cheng, and Yi-Sheng Chan. "Long-Term Outcomes of Radial Head Arthroplasty in Complex Elbow Fracture Dislocation." Journal of Clinical Medicine 10, no. 16 (August 7, 2021): 3488. http://dx.doi.org/10.3390/jcm10163488.

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The purpose of the current study was to investigate the long-term outcomes of radial head arthroplasty in complex elbow injuries through radiographic analysis and functional correlation. We evaluated 24 radial head arthroplasties in 24 consecutive patients with complex elbow fracture dislocation. All patients were treated with a single type of modular monopolar prosthesis containing smooth stem in press-fit implantation. Clinical survey using the Mayo Elbow Performance Score (MEPS), self-reported scales of shortened Disabilities of the Arm, Shoulder, and Hand (QuickDASH) and the visual analog scale (VAS) at more than 10-year follow-up were reported and compared to 2-year outcomes. Periprosthetic osteolysis was measured in the 10 zones of prosthesis-cortical interface with a modified radiolucency score, which was calibrated by each prosthesis size. Pearson correlation analysis was performed to detect the association between periprosthetic radiolucency and clinical assessment. At the final follow-up, MEPS, QuickDASH score and VAS score averaged 82.5 ± 15, 14.1 ± 14.3 and 1.6 ± 1.2 respectively. A decline in functional status was noted, with decreased mean MEPS and increased mean QuickDASH and VAS scores as compared to the 2-year results while the difference was insignificant. Periprosthetic osteolysis was more prevalent around stem tip of zone 3 and zone 8. The final and 2-year radiolucency scores averaged 7.4 ± 4.2 and 2.6 ± 2.3 respectively with significant difference. Pearson correlation analysis indicated that the difference between radiolucency scores and clinical outcomes in MEPS/QuickDASH/VAS was −0.836, 0.517 and 0.464. Progression of periprosthetic osteolysis after postoperative 10 years is more prevalent around the stem tip with moderate to high correlation to clinical outcomes. Sustained follow-up is warranted to justify subsequent surgery for revision or implant removal.
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Stiehl, James B. "Bacterial Autofluorescence Digital Imaging Guides Treatment in Stage 4 Pelvic Pressure Injuries: A Preliminary Case Series." Diagnostics 11, no. 5 (May 7, 2021): 839. http://dx.doi.org/10.3390/diagnostics11050839.

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Pelvic pressure injuries in long-term care facilities are at high risk for undetected infection and complications from bacterial contamination and stalling of wound healing. Contemporary wound healing methods must address this problem with mechanical debridement, wound irrigation, and balanced dressings that reduce bacterial burden to enable the normal healing process. This study evaluated the impact of bacterial autofluorescence imaging to indicate wound bacterial contamination and guide treatment for severe stage 4 pelvic pressure injuries. A handheld digital imaging system was used to perform bacterial autofluorescence imaging in darkness on five elderly, high-risk, long-term care patients with advanced stage 4 pelvic pressure injuries who were being treated for significant bacterial contamination. The prescient findings of bacterial autofluorescence imaging instigated treatment strategies and enabled close monitoring of the treatment efficacy to ameliorate the bacterial contamination. Wound sepsis recurrence, adequate wound cleansing, and diagnosis of underlying periprosthetic total joint infection were confirmed with autofluorescence imaging showing regions of high bacterial load. By providing objective information at the point of care, imaging improved understanding of the bacterial infections and guided treatment strategies.
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Patsiogiannis, Nikolaos, Nikolaos K. Kanakaris, and Peter V. Giannoudis. "Periprosthetic hip fractures: an update into their management and clinical outcomes." EFORT Open Reviews 6, no. 1 (January 2021): 955–72. http://dx.doi.org/10.1302/2058-5241.6.200050.

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The Vancouver classification is still a useful tool of communication and stratification of periprosthetic fractures, but besides the three parameters it considers, clinicians should also assess additional factors. Combined advanced trauma and arthroplasty skills must be available in departments managing these complex injuries. Preoperative confirmation of the THA (total hip arthroplasty) stability is sometimes challenging. The most reliable method remains intraoperative assessment during surgical exploration of the hip joint. Certain B1 fractures will benefit from revision surgery, whilst some B2 fractures can be effectively managed with osteosynthesis, especially in frail patients. Less invasive osteosynthesis, balanced plate–bone constructs, composite implant solutions, together with an appropriate reduction of the limb axis, rotation and length are critical for a successful fixation and uneventful fracture healing. Cite this article: EFORT Open Rev 2021;6:955-972. DOI: 10.1302/2058-5241.6.200050
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8

Buchanan, James M. "Hydroxyapatite Hip Arthroplasty in Osteoporotic Bone: A Study in Female Patients Over the Age of Sixty." Key Engineering Materials 309-311 (May 2006): 1345–48. http://dx.doi.org/10.4028/www.scientific.net/kem.309-311.1345.

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Uncemented hip arthroplasty is gaining interest. However, it is alleged that uncemented hip implants fail in osteoporotic bone because of early loosening and a higher incidence of periprosthetic fractures. Will Hydroxyapatite Ceramic Coated Hips (HAC) bond on to the osteoporotic bone and continue to function well in this vulnerable group of patients? Post-menopausal women are prone to develop osteoporosis. They are seen too frequently with wrist, hip and spinal crush fractures following minor low impact injuries. These ladies also contribute to the cohort of patents requiring hip arthroplasty for all the usual diagnoses including sub capital fractures. This is a study of HAC hip arthroplasty in female patients over the age of sixty which includes women with osteoporosis.
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9

Ingoe, Helen M., Philip Holland, Paul Cowling, Lucksy Kottam, Paul N. Baker, and Amar Rangan. "Intraoperative complications during revision shoulder arthroplasty: a study using the National Joint Registry dataset." Shoulder & Elbow 9, no. 2 (January 4, 2017): 92–99. http://dx.doi.org/10.1177/1758573216685706.

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Background The surgical options for revision shoulder arthroplasty and the number of procedures performed are increasing. However, little is known about the risk factors for intraoperative complications associated with this complex surgery. Methods The National Joint Registry (NJR) is a surgeon reported database recording information on major joint replacements including revision shoulder arthroplasty. Using multivariable binary logistic regression modelling, we analyzed 1445 revision shoulder arthroplasties reported to the NJR between April 2012 and 2015. Results The risk of developing a complication during revision surgery was greater than primary arthroplasty (5% versus 2.5%). An intraoperative fracture was the most common complication occurring in 50 (3.5%) cases. Nerve injuries were recorded for two (0.1%) patients and vascular injuries for one (0.1%) patient. The incidence of intraoperative fractures was higher in females than males (relative risk = 3.25; p = 0.005). Periprosthetic fracture as an indication for revision carried the highest risk for any complication (relative risk = 3.00, p = 0.06). Conclusions This is the largest registry study to date investigating the incidence and risk factors for intraoperative complications during revision shoulder arthroplasty. Females have over three times the risk of intraoperative fractures compared to males. This study will help inform surgeons to accurately counsel patients.
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Kamineni, Srinath, R. Zackary Unger, and Rasesh Desai. "Shoulder Arthrodesis in the Management of Glenohumeral Pathologies." Journal of Shoulder and Elbow Arthroplasty 3 (January 2019): 247154921985065. http://dx.doi.org/10.1177/2471549219850655.

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Background In an era of advanced shoulder stabilization procedures, arthroplasty implants and techniques, shoulder arthrodesis is considered an end-stage salvage procedure with negative connotations. However, in correctly selected patients, arthrodesis can alleviate pain, provide acceptable and stable motion, with a resultant functional shoulder. Methods The current literature on shoulder arthrodesis was reviewed to determine the indications, surgical technique, post-operative rehabilitation, complications and outcomes. Results Indications for shoulder arthrodesis include brachial plexus injuries, paralytic disorders, pseudo paralysis from combined severe/irreparable rotator cuff and deltoid injuries, inflammatory arthritis with severe rotator cuff pathology, persistent refractory instability, and tumor resection. Shoulder arthrodesis generally involves compression screws with or without plate fixation and bone graft. The arthrodesis is positioned to optimize the function of the extremity, primarily for activities of daily living. Postoperatively, most patients are immobilized for 8 to 10 weeks, dependent on the completeness of radiological fusion. Complications include nonunion, shoulder girdle muscle atrophy, painful hardware, periprosthetic fractures, and infection. Discussion With the use of recent biological innovations, the nonunion rate has declined, and rehabilitation technologies have allowed maintenance of muscle mass for future conversion to shoulder arthroplasty. Hence, in carefully selected patients, shoulder arthrodesis provides a valuable option for a stable, functional, and pain-free shoulder and should be retained as part of the treatment algorithm for complex shoulder pathology.
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Dissertations / Theses on the topic "Periprosthetic Injuries"

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Srinivas, Gunti Ranga. "Applications of Advanced CAE Methodologies to Orthopaedic Implant and Vehicle Occupant cum Pedestrian Safety Countermeasure Design." Thesis, 2017. http://etd.iisc.ac.in/handle/2005/4270.

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In the present work, experimental and numerical investigations into the load-displacement responses of a human lumbar Truncated Vertebral Unit (TVU) under quasi-static and impact loading conditions have been carried out for aiding in the design of orthopaedic implants and countermeasures for vehicle occupant and pedestrian safety. TVU samples obtained from the lumbar spinal column of an adult human male cadaver were initially subjected to quasi-static compressive tests. Impact tests were then conducted on a similar TVU sample in a drop-weight testing device instrumented with a piezoelectric load cell and a high-speed data acquisition system. An explicit nonlinear finite element model of the TVU was developed for predicting the experimental quasi-static and impact dynamic responses. Using the validated modelling approach mentioned, insights have been generated on adjoining vertebral stresses due to disc arthroplasty, and single and multi-level disc fusions as well as posterior fusions with and without posterior instrumentation. The numerical study is further extended to another crucial orthopaedic domain i.e. the assessment of the performance of variants of TKR (Total Knee Replacement) implants under ISO-specified dynamic gait cycle. In the latter investigation, a detailed and realistic finite element model of a representative human knee complex was developed by capturing relevant tissues such as femoral and tibial bones, medial and lateral collateral ligaments, and the components of a typical TKR implant including femoral component, tibial tray and UHMWPE (Ultra High Molecular Weight Polyethylene) insert. Substantive contribution has been made in the current research work towards assessment of vehicle occupant and pedestrian safety by applying the previously mentioned advanced finite element modelling approaches for representing complex vehicle structures, anthropomorphic test devices (commonly called as “dummies”), and pedestrian leg-forms. To this end, keeping in mind computational efficiency and need for optimization, a truncated finite element modelling approach capable of predicting the occupant response for a passenger car subject to a full-frontal US-NCAP test has been developed. Using the modelling tools mentioned and a nonlinear explicit LS-DYNA solver, it has been shown that meeting pedestrian safety standards need not be an isolated exercise of designing the front bumper of a vehicle only but can be combined with meeting NCAP occupant safety requirements leading to weight reduction of the front structure of a vehicle with gages of parts such as front rails in addition to bumper parts being included as design variables. For the first time, with the help of a comparative study carried out with a Hybrid 3 dummy and detailed biomechanical models of human lower extremity, the susceptibility of knees with TKR implants to periprosthetic injuries during frontal collisions has been demonstrated pointing out to a need for higher knee-protection countermeasures in vehicles.
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Book chapters on the topic "Periprosthetic Injuries"

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Yilgor, Caglar, Gokhan Demirkiran, and Omur Caglar. "Periprosthetic Soft Tissue Balance in Hip Arthroplasty." In Sports Injuries, 2461–65. Berlin, Heidelberg: Springer Berlin Heidelberg, 2015. http://dx.doi.org/10.1007/978-3-642-36569-0_204.

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Yilgor, Caglar, Gokhan Demirkiran, and Omur Caglar. "Periprosthetic Soft Tissue Balance in Hip Arthroplasty." In Sports Injuries, 1–6. Berlin, Heidelberg: Springer Berlin Heidelberg, 2014. http://dx.doi.org/10.1007/978-3-642-36801-1_204-1.

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Mohan Iyer, K., Vijaya Kumar Kempanna, Sharad Goyal, Shibu Krishnan, and Gurdeep Singh Biring. "Chapter 6 Injuries around the Hip Joint, Including Periprosthetic." In The Hip Joint, 139–92. Penthouse Level, Suntec Tower 3, 8 Temasek Boulevard, Singapore 038988: Pan Stanford Publishing Pte. Ltd., 2016. http://dx.doi.org/10.1201/9781315364681-7.

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Conference papers on the topic "Periprosthetic Injuries"

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Srinivas, Gunti R., Anindya Deb, Clifford C. Chou, and Malhar Kumar. "A Methodology for Prediction of Periprosthetic Injuries in Occupants with TKR Implants in Vehicle Crashes." In SAE 2016 World Congress and Exhibition. 400 Commonwealth Drive, Warrendale, PA, United States: SAE International, 2016. http://dx.doi.org/10.4271/2016-01-1529.

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Bradeanu, Andrei Vlad, Loredana Pascu, Alexandru Bogdan Ciubara, and Dragos Cristian Voicu. "COMPLICATIONS OF HIP HEMIARTHROPLASTY IN PATIENTS WITH DEMENTIA." In The European Conference of Psychiatry and Mental Health "Galatia". Archiv Euromedica, 2023. http://dx.doi.org/10.35630/2022/12/psy.ro.8.

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ge is one of the most important parameters influencing the occurrence of hip fractures in patients over the age of 65, whereas their mental state is a decisive factor. Older adults have eight times higher risk of dying of a hip fracture if we compared to those people without a hip fracture. The risk of death is very high in the first three months and it remains in first ten years. High incidence of hip fracture and dementia worldwide includes Europe and Middle East part of Europe, South America, Canada, United States and Asia. There is a very high probability that patients with hip fractures and dementia may develop delirium that will result in prolonged hospitalization and poor mobility. Death is a rare complication of hip arthroplasty. Less than 1% patients in United States died, however in the first 90 days the postoperative mortality rate is somewhat higher than 1%. Otherwise, after revision surgery this rate increases. The most common complications of hip hemiarthroplasty that can be avoided by surgeons are: dislocation (posterior approach), and infection (the most common are Gram-positive Staphylococcus aureus- MRSA and Gram-negative bacillus). In one year the mortality rates will be over than half in the patients with deep infection and approximately 65% of patients with dislocation prosthesis in 6 months but also depends by type of prosthesis: monobloc (Austin Moore) or bipolar, cemented or uncemented. Other patient-related complications in the order in which they appear are pulmonary embolism, hematoma formation, unusual ossification, thromboembolism, nerve injury, fracture (periprosthetic). In patients who receive antiplatelet, anti-inflammatory, or anticoagulant therapy, it is necessary to stop the preoperative medication and to perform intraoperative hemostasis. During surgery, there is a risk to damage obturator vessels, perforating branch of femoralis artery and injury iliac vessels when drilling medial acetabular wall. In the last two decades thromboembolism has been prevented by physical therapy and socks with gradual compression. Depending on the type of surgeon's preferred type of proceedings, the following nerves may be injured: femoral nerve, sciatic nerve, and superior gluteal nerves.
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