What is a periprosthetic hip fracture?
A periprosthetic hip fracture is a broken bone that occurs around the implants of a total hip replacement. It is a serious complication that most often requires surgery.
What is a Vancouver B2 fracture?
Type B fractures are subdivided based on stability and bone stock. B1 implies a well-fixed stem, B2 a loose stem with good bone stock, and B3 designates poor surrounding bone stock.
What is a periprosthetic proximal femur fracture?
Vancouver B1 periprosthetic fractures are best described as those fractures distal to the intertrochanteric region of the femur but around the femoral stem. By definition, the femoral stem is considered well fixed in B1 (Fig. 3) fractures. The morphology of the fracture dictates the type of fixation.
How is a periprosthetic fracture treated?
Essentially all periprosthetic fractures require some treatment. Stable nondisplaced fractures may only require protected weightbearing or cast/brace immobilization (and pain medication), but most unstable peri-implant fractures require surgical stabilization, implant replacement, or both to restore function.
How common is periprosthetic fracture?
Periprosthetic fractures occur in approximately 1% of patients [80,81]. Risk factors for periprosthetic fracture include both patient factors and surgical factors.
How are hip fractures classified?
Type 1 fractures are incomplete and valgus impacted, while type 2 fractures are complete. Type 3 fractures are partially displaced, and type 4 fractures are completely displaced. A modification of the Garden classification simply divides femoral neck fractures into nondisplaced or displaced.
What is a Vancouver B1 femur fracture?
Abstract. Objectives: Vancouver type B1 periprosthetic femur fractures occur around a stable implant and are typically treated with open reduction and internal fixation (ORIF). Different fixation techniques are described in the literature, and there is a lack of consensus regarding the best operative fixation strategy.
What is the ICD 10 code for periprosthetic femur fracture?
In this case, report ICD-10-CM codes S72. 402A (Unspecified fracture of lower end of left femur, initial encounter for closed fracture) as the principal/first listed diagnosis followed by M97. 02XA (Periprosthetic fracture around internal prosthetic left hip joint, initial encounter) as a secondary diagnosis.
What is a periprosthetic distal femur fracture?
Abstract. Periprosthetic fractures of the distal femur most commonly present as fragility fractures associated with relatively minor trauma. These injuries are often complicated by osteopenia of the distal femur secondary to stress shielding or osteolysis.
How long does it take a periprosthetic fracture to heal?
The average time to radiographic healing ranged from 10 – 24 weeks. The rate of non-union and need for a revision surgery varied from 0 – 22% and the rate of implant failure was as high as 26%.
What is the CPT code for periprosthetic fracture?
422A (Pathological fracture, left humerus, initial encounter for fracture) as the principal/first listed diagnosis followed by M97. 32XA (Periprosthetic fracture around internal prosthetic left shoulder joint, initial encounter) as a secondary diagnosis. (Also assign osteoporosis and external cause codes)
How do you code a periprosthetic fracture?
Periprosthetic fracture around internal prosthetic joint M97-
- fracture of bone following insertion of orthopedic implant, joint prosthesis or bone plate ( ICD-10-CM Diagnosis Code M96.6.
- breakage (fracture) of prosthetic joint ( ICD-10-CM Diagnosis Code T84.01.