Revolutionary Treatment for Periprosthetic Fractures Speeds Up Recovery in 2025

A new treatment for periprosthetic fractures has been developed by the Ural Research Institute of Traumatology and Orthopedics. The method, introduced in 2025, addresses a growing problem linked to joint replacements and an ageing population. Experts believe it could become the leading approach for managing these complex injuries.

The innovative system uses intramedullary retrograde osteosynthesis, a minimally invasive technique. It allows patients to put weight on their leg immediately after surgery, speeding up recovery. Periprosthetic fractures—breaks around artificial joints—are becoming more common. The rise stems from increased joint replacement surgeries and a growing elderly population. Patients over 70 face a 4.7 times higher risk of such fractures, which can occur during surgery or later. Up to 5.4% of primary joint replacements and 30% of revision surgeries result in these injuries.

The Chaklin Institute's solution involves precise preoperative planning using X-rays. Custom fixation rods are then fabricated to match each patient's anatomy. During surgery, specialised devices restore proper femoral length and prosthesis alignment. Over 200 patients have already undergone the procedure, with an 88% success rate.

Kirill Berdyugin, a professor and Doctor of Medical Sciences, described the method as a potential gold standard. The institute has also set up a structured rehabilitation and monitoring system to track recovery and prevent complications. The technology is unique in Russia, with no equivalents currently available. The new treatment offers a faster, more effective way to repair periprosthetic fractures. Its minimally invasive nature and immediate weight-bearing capability reduce recovery time. With further adoption, the method could significantly improve outcomes for patients with these challenging injuries.