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Advanced Periprosthetic Fracture Fixation in Kanakapura Road, Bangalore | Manipal Hospitals

​Periprosthetic Fracture Fixation (fractures around existing implants)

Advanced Periprosthetic Fracture Fixation in Kanakapura Road, Bangalore

A fall or sudden twist can have more serious consequences when there is already an implant in place. What might have been a simple fracture becomes more complex, requiring careful handling to protect both bone and prosthesis. Periprosthetic fracture fixation in Kanakapura Road, Bangalore, is a preferred treatment option at Manipal Hospitals. Surgeons use plates, screws, or sometimes new implants to secure the bone fragments. Our seasoned orthopaedists evaluate injuries using X-rays and scans, customising the fixation method for every individual. This tailored approach helps patients regain mobility sooner while lowering the risk of complications such as infection, delayed healing, or non-union of the bone.

How It Works

Periprosthetic fracture fixation is essentially a precise repair job on a bone that's cracked near a joint implant. First, the surgeon makes an incision over the affected area, like the thigh for a hip replacement fracture. They carefully manoeuvre the surrounding tissues, revealing the bone and any unstable implant. Then, the real work begins: alignment. The fractured bone fragments are meticulously repositioned, frequently using real-time imaging, such as X-rays, to ensure precise placement. Special plates or locking screws are then employed to secure everything. These specialised screws are designed to provide secure fixation, ensuring a firm hold even in fragile bone.

If the original implant is damaged or loose, it might get revised or bypassed with cables and struts for extra support. The procedure typically takes one to two hours and is performed under general or spinal anaesthesia. Thanks to contemporary surgical techniques, blood loss is minimised, and antibiotics are administered to ward off infection. 

Once aligned, the bones heal over three to six months through new bone formation. The team then carefully oversees a gradual return to weight-bearing activities. This procedure relies on advanced surgical techniques, enabling the body to undertake the work of healing. Success relies on a robust blood supply and the patient's commitment to rehabilitation. For intricate cases, custom implants or bone grafts are employed to bridge gaps, providing enduring stability.

Benefits

Patients receive various advantages after getting this procedure done. Some of the key benefits are:

  • Rapid restoration of joint function enables patients to return to daily activities sooner.

  • Minimally invasive techniques are utilised when feasible, reducing pain and scarring.

  • The chance of complications, such as implant failure or lasting immobility, is reduced.

  • Long-term bone strength with robust hardware.

  • Personalised care speeds recovery, with high success rates.

What to Expect

From the moment you arrive with a fracture around an existing joint replacement, our team moves quickly to assess, stabilise, and plan the most appropriate treatment for your unique situation.

  • Emergency assessment and imaging - Our orthopaedic trauma team evaluates you in the emergency department, obtains high‑quality X‑rays and often a CT scan to assess the fracture pattern, the stability of your existing implant, and the quality of the surrounding bone.

  • Medical optimisation - We work with anaesthetists and, when indicated, geriatricians to ensure your medical conditions are optimised, managing blood pressure, diabetes, and anticoagulation so that you are as safe as possible for surgery.

  • Surgical planning and discussion - Your surgeon explains whether we can fix the fracture while retaining your existing implant or whether a revision of the joint replacement is necessary. We take time to answer your questions and outline what to expect.

  • The procedure - Surgery is typically performed within 24 to 48 hours once you are medically optimised. Depending on complexity, the operation may last two to four hours. We use specialised locking plates, cables, or revision implants to restore stability.

  • Hospital stay and early recovery - You will be closely monitored in the recovery area or intensive care unit. Pain is managed with regional nerve blocks and oral medications. Physiotherapy begins early, often within the first day, with protected weight‑bearing as advised by your surgeon.

  • Rehabilitation and discharge planning - A physiotherapist works with you daily, helping you regain mobility while respecting weight‑bearing restrictions. 

Why Manipal Hospitals

At Manipal Hospital Kanakapura Road, we have built a dedicated service for these complex injuries, combining high‑volume revision arthroplasty experience with advanced trauma fixation techniques. Our approach is guided by the principle that every periprosthetic fracture requires an individualised strategy, whether this involves retaining a stable implant with fracture fixation or performing revision arthroplasty when the implant is loose. Our structured and multidisciplinary care often earns us recognition as the best hospital for complex hip and pelvic fracture reconstruction:

  • Expert teams handle periprosthetic fracture fixation in Kanakapura Road, Bangalore, with precision and minimal downtime.

  • State-of-the-art operating theatres support advanced imaging during the procedure.

  • Multidisciplinary care involves rehab specialists from day one.

  • High-volume experience means fewer surprises; outcomes beat averages.

  • For tougher scenarios, revision surgery for implant fractures in Kanakapura Road uses custom solutions like augments or mega-prostheses.

  • Patient-centric approach includes 24/7 support, quick discharges, and tailored pain plans.

  • Cutting-edge tech, such as navigation systems, ensures accurate fixation.

  • Proven results: most patients mobilise within 48 hours, with low revision rates.

  • Seamless coordination reduces stress, from diagnosis to discharge.

This blend of skill and compassion turns daunting fixes into smooth recoveries.  

Speciality - Orthopaedics

At Manipal Hospital Kanakapura Road, the orthopaedics department handles periprosthetic fractures around joint implants. Our orthopaedic specialists focus on restoring function when bones crack near replacements, using fixation techniques that stabilise without overhauling everything. They tackle hip, knee, and shoulder cases with a keen eye for detail, assessing bone quality, implant fit, and patient fitness. Advanced tools like locking plates and cables make repairs reliable, even in osteoporotic bones. Recovery is prioritised through early rehab, helping patients regain mobility sooner.

Services Offered

Our periprosthetic fracture fixation service provides comprehensive management for fractures occurring around hip, knee, and shoulder arthroplasties. We offer a full spectrum of treatment, from closed reduction with internal fixation using locking plate technology to revision arthroplasty with custom or modular implants. Pre‑operative planning includes detailed imaging to assess implant stability and bone quality. The service is supported by a dedicated rehabilitation team that balances fracture healing protocols with the need for early mobilisation to prevent complications.

Facilities and Services

Manipal Hospital Kanakapura Road boasts top-notch facilities that make treatment smooth and effective. Our facilities include: 

  • Modern laminar flow theatres minimise infection risks during procedures.

  • Advanced revision surgery for implant fractures in Kanakapura Road with computer navigation for pinpoint accuracy.

  • 24/7 imaging suites, such as X-ray, CT, and MRI, for rapid diagnosis.

  • Dedicated ortho rehab gyms with hydrotherapy pools.

  • Intensive care units for high-risk cases, staffed round the clock.

  • Pain clinics use multimodal approaches, from blocks to meds.

  • Comfortable private rooms with family zones during stays.

These amenities ensure safety and comfort, turning recovery into a supported process.

Best Periprosthetic Fracture Fixation at Manipal Hospitals, Kanakapura Road, Bangalore. Advanced treatment for fractures around joint implants with expert surgical and rehabilitation care.

FAQ's

These breaks often stem from falls in older adults, weakened bones from osteoporosis, or implant wear after years. Trauma or minor stress can trigger them around the hips or knees. Early detection via imaging helps.

Most patients begin assisted walking within a few days, and full weight-bearing is typically achieved within 6–12 weeks, depending on healing and surgical advice. Bone unions occur by 3–6 months, but rehab varies by age and health.

While risks like infection or blood clots can occur, they are uncommon. Early checks before surgery and well-planned care help manage these risks effectively.

Stable fractures might heal with bracing, but unstable ones need fixation for the best outcomes. Your surgeon weighs factors like activity level and bone quality. 

Around 85-95% achieve solid healing and a return to function. Factors like smoking or diabetes can affect it; quitting helps.

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