Overview
About Periarticular Fracture Management
Periarticular fractures involve the bone immediately around a joint — such as the distal femur (above the knee), proximal tibia (tibial plateau), distal radius (wrist), or proximal humerus (shoulder). These fractures frequently involve or communicate with the joint surface and require precise surgical reduction and fixation to restore joint congruence. Malunion or inadequate reduction leads to post-traumatic arthritis, stiffness, and permanent disability.
Key Benefits
Precise joint surface reconstruction prevents post-traumatic arthritis
Stable fixation allows early joint movement to prevent stiffness
CT scan planning for complex fracture patterns ensures optimal surgical approach
Advanced locking plate systems designed for periarticular fractures
Expert rehabilitation protocol for the best possible functional recovery
Frequently Asked Questions
What are common periarticular fractures?
Common examples include tibial plateau fracture (top of the shin bone near the knee), distal femur fracture (bottom of the thigh bone near the knee), distal radius fracture (wrist), calcaneus fracture (heel), and proximal humerus fracture (shoulder).
Why are periarticular fractures more serious?
Because they often involve the joint surface itself. Any step or gap in the joint surface leads to uneven pressure distribution, causing rapid cartilage wear and post-traumatic arthritis — leading to chronic pain and stiffness.
Is CT scan always needed?
For most periarticular fractures, a CT scan is essential for accurate characterisation of the fracture pattern, degree of joint surface involvement, and surgical planning. X-rays alone are often insufficient.
When can I start moving the joint after surgery?
Early controlled movement is actively encouraged — often starting within days of surgery. This prevents joint stiffness while the fracture heals with stable internal fixation. Your physiotherapist will guide progression.
What is the risk of arthritis after a periarticular fracture?
The risk depends on the degree of joint surface damage and quality of reduction. With accurate surgical reduction and early rehabilitation, the risk is minimised. However, some degree of post-traumatic arthritis may develop years later in severe injuries.