Arthroplasty for Fractures
When fixation of a complex joint fracture would likely fail — particularly in osteoporotic elderly bone — primary joint replacement provides immediate stability, pain relief and same-day mobilisation.
What is Arthroplasty for Fractures?
Arthroplasty for Fractures refers to primary joint replacement performed not for arthritis but for severely displaced or comminuted intra-articular fractures — most commonly displaced femoral neck fractures in elderly patients, complex four-part proximal humerus fractures and selected distal humerus fractures. When osteoporotic bone makes internal fixation likely to fail mechanically, replacing the joint provides predictable pain relief, immediate mobilisation and avoids the cascade of bedrest complications. Dr. Hithesh performs arthroplasty for trauma in Hyderabad — including hemiarthroplasty, total hip replacement and reverse shoulder replacement — restoring rapid function in the most challenging fracture scenarios.
How the Procedure Works
Detailed Assessment
Fracture pattern, bone quality, patient age and pre-injury functional level are assessed to plan the optimal joint replacement strategy.
Anaesthesia & Approach
General or regional anaesthesia is delivered; standard surgical approach — posterior for hip, deltopectoral for shoulder — provides safe joint access.
Fracture Resection
Comminuted fracture fragments are removed; the joint surface is prepared to accept the prosthetic implant components securely afterwards.
Prosthesis Insertion
A modern joint replacement — hemiarthroplasty, total replacement or reverse shoulder — is positioned and secured by cement or press-fit fixation.
Closure & Mobilisation
Wound layers are closed; standing, walking and structured progressive physiotherapy begin within 24 hours, restoring rapid mobility safely.
Outcomes
Who Needs This Treatment?
- →Provides rapid pain relief and same-day mobilisation in elderly patients
- →Avoids the high mechanical failure rate of fixation in osteoporotic bone
- →Prevents complications of prolonged bedrest in frail elderly patients
- →Predictable outcome using established joint replacement implants and techniques
- →Restores walking, sitting and basic daily living quickly and reliably
- →Highly successful procedure with proven excellent long-term outcomes globally
When you stare at an osteoporotic four-part humerus fracture, fixation often promises more than it can deliver. Sometimes replacement is simply the kinder operation — predictable, definitive and ready to walk on tomorrow.
— — Dr. Bathini Hithesh, Consultant Orthopaedic Surgeon, Trauma & Joint Replacement Specialist, Lux Hospitals, Hyderabad
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Bathini Hithesh and get a personalised treatment plan.