As a fellowship trained Orthopedic surgeon, Dr Amey focuses on treating all Joint conditions – Injuries , Fractures, Replacement and Arthroscopy. He has been trained in one of the best institutes in India under pioneers of the field . He has performed numerous surgeries in Government hospital , Mumbai. He has special interest in Revision Hip replacements , Joint preservation surgeries and Sports Injuries.

OPD building, Vision Hospital, next to Max Superstore, Karaswada, Mapusa, Goa 403507

drsameer0610@gmail.com

+91 8882119651

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Periarticular Fractures

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Dr. Sameer Mittal

MBBS, DNB
Orthopedics/Orthopedic Surgery, Diploma in Orthopaedics Joint Replacement Surgeon,Orthopedic surgeon
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Periarticular Fractures treatment in rewa

Periarticular Fractures

Periarticular fractures are fractures that occur near or around a joint, affecting the ends of the bones that form the joint. These fractures can significantly impact joint function, leading to pain, swelling, stiffness, and decreased range of motion. They commonly result from high-impact trauma, such as falls, vehicle accidents, or sports injuries, but can also occur due to weakened bones from conditions like osteoporosis. Treatment often involves a combination of immobilization, surgical intervention, and physical therapy to restore joint stability and function. Proper management and rehabilitation are crucial to prevent long-term complications such as joint stiffness or arthritis.

Symptoms of Periarticular Fractures

Periarticular fractures, which occur near or around a joint, present with acute symptoms such as severe pain, swelling, and bruising around the affected area. These fractures often lead to significant joint stiffness and reduced range of motion, making movement difficult and painful. Visible deformity or instability of the joint may also be apparent, and weight-bearing activities are typically compromised, especially in fractures involving the lower extremities.

Causes of Periarticular Fractures

The causes of periarticular fractures vary, but they generally result from high-impact trauma such as falls, motor vehicle accidents, or sports injuries. Osteoporosis and other conditions that weaken bones can predispose individuals to such fractures even with minimal trauma. Additionally, repetitive stress or overuse, particularly in athletes, can lead to periarticular fractures over time.

Treatment of Periarticular Fractures

Treatment for periarticular fractures aims to restore the normal function and anatomy of the joint. This often involves a combination of surgical and non-surgical interventions. Non-surgical treatment may include immobilization with casts or braces, along with pain management and anti-inflammatory medications. Surgical options, such as open reduction and internal fixation (ORIF), are frequently necessary to align and stabilize the bone fragments, especially in complex fractures. Minimally invasive techniques like arthroscopy may also be employed to repair joint structures and remove bone fragments.

Rehabilitation and Recovery

Rehabilitation following periarticular fractures is critical to regain full function and prevent long-term complications such as joint stiffness or arthritis. Physical therapy plays a central role, focusing on gradually restoring range of motion, strengthening the surrounding muscles, and improving joint stability. Early mobilization, under professional guidance, helps prevent stiffness and promotes healing. Rehabilitation programs often include exercises tailored to enhance flexibility, strength, and coordination. Additionally, modalities such as ultrasound or electrical stimulation may be used to reduce pain and swelling. Continuous monitoring by healthcare professionals ensures that rehabilitation progresses appropriately and adjusts to the patient’s recovery pace and any emerging challenges. The overall goal is to achieve optimal joint function and prevent recurrence or secondary issues.

ShapeF&Q's

Periarticular Fractures

Periarticular fractures are fractures that occur near or around a joint, affecting the ends of the bones that form the joint. These fractures can significantly impact joint function and may involve complex injury patterns due to their proximity to the joint surface.

Common symptoms include severe pain, swelling, bruising, and tenderness around the affected joint. Patients may also experience visible deformity, joint instability, reduced range of motion, and difficulty bearing weight or moving the affected limb.

Periarticular fractures are typically caused by high-impact trauma such as falls, motor vehicle accidents, or sports injuries. They can also result from low-impact events in individuals with weakened bones due to osteoporosis or other bone-weakening conditions.

Diagnosis involves a combination of physical examination and imaging studies, such as X-rays, CT scans, or MRI. These tools help assess the extent of the fracture, its location relative to the joint, and any associated soft tissue injuries.

Treatment options vary depending on the severity and location of the fracture. They may include non-surgical methods like immobilization with casts or braces for stable fractures. However, many periarticular fractures require surgical intervention, such as open reduction and internal fixation (ORIF) to properly align and stabilize the bones. Post-surgical care often includes physical therapy to restore function.

Rehabilitation focuses on restoring range of motion, strength, and joint stability. It typically starts with gentle, passive movements soon after surgery or immobilization. Gradually, active exercises and resistance training are introduced to strengthen the muscles around the joint. The rehabilitation process is tailored to the individual and can span several months, involving continuous monitoring and adjustment to ensure optimal recovery and prevent long-term complications such as stiffness or arthritis.