Our Summary

This study focuses on fractures around the thigh bone (femur) that occur near a hip joint replacement, which is a common non-infectious complication after hip replacement surgery. By understanding the risk factors that lead to such fractures, surgeons can better prevent them. A classification system, called the Vancouver classification, is used to accurately describe the factors that should be taken into account when treating patients with these fractures, which include where the fracture has occurred, how stable the replaced joint is, and the quality of the patient’s bone. The study emphasizes the importance for surgeons to be aware of the causes and risk factors for these types of fractures around the hip, as well as modern methods to manage these fractures depending on the type of fracture, its location, and the condition of the replaced hip joint.

FAQs

  1. What are periprosthetic femur fractures around the hip?
  2. What factors should be considered in the treatment of patients with periprosthetic femur fractures?
  3. What are the risk factors for periprosthetic femur fractures around the hip?

Doctor’s Tip

A helpful tip a doctor might tell a patient about hip replacement is to follow post-operative instructions carefully, including proper rehabilitation exercises and precautions to prevent falls and injuries. It is also important to maintain a healthy weight, engage in regular physical activity, and attend follow-up appointments to monitor the success of the hip replacement and address any concerns promptly. Additionally, avoiding high-impact activities and using assistive devices as needed can help protect the new hip joint and prolong its longevity.

Suitable For

Patients who are typically recommended for hip replacement surgery include those with severe hip pain and stiffness that limits daily activities, hip joint damage from arthritis, hip fractures, or other conditions, and those who have not had success with other treatments such as medication or physical therapy. Additionally, patients who are relatively healthy and have good bone quality are ideal candidates for hip replacement surgery. The decision to undergo hip replacement surgery is typically made after a thorough evaluation by a healthcare provider, including a physical exam, imaging tests, and discussion of the potential risks and benefits of the procedure.

Timeline

Before hip replacement:

  1. Patient experiences pain and limited mobility in the hip joint due to arthritis, injury, or other conditions.
  2. Patient consults with an orthopedic surgeon to discuss the possibility of a hip replacement surgery.
  3. Pre-surgical evaluations and tests are conducted to determine the patient’s eligibility for the surgery.
  4. Patient undergoes the hip replacement surgery, where the damaged hip joint is replaced with an artificial implant.
  5. Post-operative care and rehabilitation begin to help the patient recover and regain mobility.

After hip replacement:

  1. Patient may experience initial pain and discomfort following the surgery, which is managed with pain medication.
  2. Physical therapy and exercise programs are initiated to help the patient strengthen the muscles around the new hip joint.
  3. Patient gradually increases activity levels and resumes daily activities with reduced pain and improved mobility.
  4. Follow-up appointments with the surgeon are scheduled to monitor the healing process and ensure the success of the hip replacement.
  5. Over time, patient experiences improved quality of life, increased mobility, and reduced pain in the hip joint.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with hip replacement surgery?

  2. What is the expected recovery time and rehabilitation process following hip replacement surgery?

  3. How long can I expect the hip replacement to last before needing a revision surgery?

  4. What type of implant will be used for the hip replacement and why was this particular implant chosen for me?

  5. What are the potential limitations or restrictions I may have after hip replacement surgery?

  6. What steps can I take to optimize my recovery and improve the long-term success of the hip replacement?

  7. What should I do if I experience any unusual pain, swelling, or discomfort in the hip after the surgery?

  8. Will I need to take any medications or undergo additional treatments before or after the surgery?

  9. How often will I need to follow-up with you after the surgery for monitoring and potential complications?

  10. Are there any specific activities or movements that I should avoid after hip replacement surgery to prevent complications?

Reference

Authors: Nicholas A B, Michael James T, Michael S K, Elizabeth B G. Journal: Instr Course Lect. 2025;74:233-242. PMID: 39745564