Periprosthetic fracture around internal prosthetic elbow joint Save

Understanding Periprosthetic Fractures around Internal Prosthetic Elbow Joint

Periprosthetic fractures are a common complication after joint replacement surgeries. When it comes to elbow replacements, periprosthetic fractures around the internal prosthetic elbow joint can occur due to various reasons.

The internal prosthetic elbow joint comprises the humeral and ulnar components. The humeral component is inserted into the upper arm bone, and the ulnar component is inserted into the lower arm bone. Both components are connected by a hinge mechanism that allows the elbow to bend and straighten.

Periprosthetic fractures around the internal prosthetic elbow joint can occur due to several factors such as traumatic injury, osteoporosis, loosening of the prosthetic components, and improper surgical techniques. These fractures can be classified into three types: type A, type B, and type C.

1. Type A: These fractures occur in the humeral component and can be further classified into three subtypes: A1, A2, and A3. A1 fractures involve the humeral condyle (the bony prominence at the end of the upper arm bone), A2 fractures involve the humeral shaft (the long part of the upper arm bone), and A3 fractures involve both the condyle and shaft.
2. Type B: These fractures occur in the ulnar component and can be further classified into two subtypes: B1 and B2. B1 fractures involve the olecranon (the bony prominence at the end of the lower arm bone), and B2 fractures involve the shaft of the ulnar component.
3. Type C: These fractures occur around both the humeral and ulnar components and can be further classified into three subtypes: C1, C2, and C3. C1 fractures involve the humeral condyle and the olecranon, C2 fractures involve the humeral shaft and the olecranon, and C3 fractures involve both the humeral and ulnar shafts.

Treatment of periprosthetic fractures around the internal prosthetic elbow joint depends on the type and severity of the fracture. Non-surgical treatment options include immobilization, pain management, and physical therapy. Surgical treatment options include open reduction and internal fixation, revision surgery, and elbow arthroplasty.

If you have undergone elbow replacement surgery and are experiencing pain or discomfort around the elbow joint, it is essential to consult with your orthopedic surgeon for a proper diagnosis and treatment plan.