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Periprosthetic in medicine refers to a structure in close relation to an implant. Clinically it can refer to: Bone fracture or 'periprosthetic fracture' [1] around an artificial joint, e.g. after a knee replacement; infection around an artificial joint or 'periprosthetic joint infection' [2] Vegetation or leak around an artificial heart valve
The Vancouver classification is a grading system used in orthopaedics to determine management of post-operative periprosthetic femoral fractures following a hip arthroplasty. It is named for the city Vancouver, home to the University of British Columbia where the authors of the 1995 paper worked.
Intraoperative acetabular fracture. Intraoperative fractures may occur. After surgery, bones with internal fixation devices in situ are at risk of periprosthetic fractures at the end of the implant, an area of relative mechanical stress. Post-operative femoral fractures are graded by the Vancouver classification. [31] [32]
Periprosthetic fractures are becoming more frequent with the aging patient population and can occur intraoperatively or postoperatively. Depending on the location of the fracture and the stability of the prosthesis, these can be treated surgically with open reduction and internal fixation or revision of the prosthesis. [citation needed]
(h) oblique fracture Open ankle fracture with luxation Periprosthetic fracture of left femur. In orthopedic medicine, fractures are classified in various ways. Historically they are named after the physician who first described the fracture conditions, however, there are more systematic classifications as well. [citation needed]
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