Berry's 2003 expert review addresses periprosthetic fractures that arise through osteolytic lesions after total hip arthroplasty, asking when these fractures require early surgery versus a delayed approach that allows the fracture to heal first before addressing the underlying particle-generation problem.
When you see a periprosthetic fracture on imaging after THA, immediately assess implant stability and fracture displacement by site: a minimally displaced greater trochanter or pelvic fracture through osteolysis can be braced for 3 months before revision, but a diaphyseal fracture around a loose stem needs early operative intervention with a long bypass component.
Berry's 2003 expert review addresses periprosthetic fractures that arise through osteolytic lesions after total hip arthroplasty, asking when these fractures require early surgery versus a delayed approach that allows the fracture to heal first before addressing the underlying particle-generation problem.
When you see a periprosthetic fracture on imaging after THA, immediately assess implant stability and fracture displacement by site: a minimally displaced greater trochanter or pelvic fracture through osteolysis can be braced for 3 months before revision, but a diaphyseal fracture around a loose stem needs early operative intervention with a long bypass component.