Complex Revision & Trauma

Periprosthetic Fracture Treatment in Bangalore

A fracture around an existing joint replacement is not an ordinary fracture. The implant already occupies the bone where fixation would normally go, the surrounding bone is often thin, and the question that decides everything is whether the implant is still solidly fixed. Dr. Yogish manages these injuries end to end, from fixation around a stable implant to full revision replacement where the component has loosened, with the aim of getting patients safely back on their feet quickly.

Book a Consultation How robotic surgery works

Symptoms to watch for

Sudden pain around a previous hip or knee replacement, usually after a fall
Inability to stand or bear weight on a joint that was previously comfortable
Deformity, shortening or abnormal movement of the limb
Pain and a sense of looseness that began before the fall rather than after it

When treatment is considered

A confirmed fracture around a hip or knee replacement
An implant that has loosened, or bone that will not hold fixation
Displaced or unstable fracture patterns that will not heal in a cast
An older patient for whom prolonged bed rest carries its own risks

The Approach

A careful, minimally invasive approach

Modern techniques that treat the problem while protecting the healthy tissue around it.

Is the implant still solid?

X-rays and CT establish the fracture pattern, the quality of the surrounding bone and whether the component remains well fixed. Everything that follows depends on that answer.

Fixation around a stable implant

Where the component is sound, the fracture is stabilised around it using locking plates, cables and grafting chosen for thin bone, leaving the working replacement in place.

Revision where the implant has failed

If the component has loosened or the bone will not hold, the replacement is revised, often to a longer stem that bypasses the fracture and restores a stable, weight-bearing construct.

Recovery Timeline

A recovery you can follow, step by step

Recovery is guided and gradual, with clear milestones and physiotherapy support at every stage. Your exact timeline is tailored to you.

Guided by structured physiotherapy

01
Immediate
Stabilisation, pain control and a plan made from imaging
02
Early weeks
Protected mobilisation, guided by how the fracture was fixed
03
Weeks, months
Physiotherapy rebuilds strength, balance and walking
04
Follow-up
Imaging confirms union and secure fixation before full loading

Conditions treated

Peri-prosthetic femur fractureFracture around a knee replacementFracture around a hip replacementLoose or failed joint implantFragility fracture with an implant in place

Questions & Answers

Peri-Prosthetic Fractures: your questions

Occasionally, when the fracture is undisplaced and the implant is solidly fixed. Most of these injuries are unstable and do better with surgery that allows early movement.

Not always. If the component is still well fixed, the fracture can often be stabilised around it. Revision is reserved for implants that have loosened or bone that cannot hold fixation.

The aim is to mobilise early, because prolonged bed rest is itself a risk in older patients. How much weight you may take is set by the fixation achieved at surgery.

The implant already occupies the bone canal, the surrounding bone is often osteoporotic, and standard fixation methods may not apply. They need specific implants, careful planning and revision experience.