As patients who have had a hip replacement age, there is a decrease in the strength of their bones and an increase in the risk of fracture around the hip replacement (peri-prosthetic fracture).
By their nature, these are sudden injuries, although patients may have had discomfort prior to the injury. The treatment depends on whether the implant is loose or not. If the implant is well fixed then the fractures can be reduced and held with specialised plates. A small percentage will have an underlying infection, which would have contributed to their fracture in the first place.
If the implants are loose, then they must be removed along with all the cement. The fracture is then reduced, fixed and a long stem implant introduced. Rehabilitation is similar to that of revision for loosening and most patients remain partially weight-bearing for up to 3 months until the fracture is healed.