Arthroplasty for Fractures
Joint replacement for complex fractures — femoral neck fractures and comminuted proximal humerus fractures — where fixation would carry a prohibitively high risk of failure, non-union, or avascular necrosis.
What is Arthroplasty for Fractures?
While most fractures are treated with fixation, certain fracture types — particularly displaced intracapsular femoral neck fractures in elderly patients and comminuted 3- or 4-part proximal humerus fractures — have unacceptably high rates of fixation failure, non-union, and avascular necrosis when internal fixation is attempted. In these cases, arthroplasty (joint replacement) is the preferred surgical option. For hip fractures: bipolar hemiarthroplasty replaces the femoral head while preserving the native socket — allowing immediate full weight-bearing. For complex proximal humerus fractures in elderly patients: reverse total shoulder arthroplasty provides reliable pain relief and function even when the rotator cuff cannot be reconstructed.
Suitable for elderly patients with displaced intracapsular (subcapital) neck of femur fractures at high risk of avascular necrosis (Garden III–IV), and comminuted 3- and 4-part proximal humerus fractures in patients over 65 where fixation is likely to fail due to fracture complexity and bone quality.
How the Procedure Works
Pre-op Assessment
Fracture pattern, bone quality, patient age, activity level, and comorbidities are assessed — determining whether fixation or arthroplasty is the optimal approach.
Fractured Bone Excision
The comminuted femoral head or proximal humerus is carefully removed along with fracture fragments.
Implant Selection
Bipolar hemiarthroplasty (hip) or reverse total shoulder arthroplasty (shoulder) is selected based on the patient's anatomy and bone quality.
Prosthesis Implantation
The prosthesis is cemented or cementless-press-fit into the prepared canal; stability and range of motion are tested.
Immediate Weight-Bearing
Full weight-bearing begins day one (hip hemiarthroplasty) — the primary advantage over fracture fixation in elderly patients.
Outcomes
Who Needs This Treatment?
- →
Immediate full weight-bearing from day one — critical in elderly fracture patients
- →
Avoids the high failure risk of fixation in displaced subcapital fractures
- →
Bipolar design reduces long-term acetabular wear
- →
Reverse shoulder arthroplasty works even with complete rotator cuff loss
- →
More predictable outcome than fixation in high-risk fracture patterns
- →
Shorter total hospital stay and rehabilitation duration
"For a frail elderly patient with a displaced hip fracture, getting them walking the next day is the difference between a good recovery and a cascade of life-threatening complications. Arthroplasty makes that possible in a way that fixation simply cannot in these high-risk fractures."
— Dr. Satish Reddy Gandavarapu, Senior Orthopaedic Consultant and Trauma Surgeon , Lux Hospitals, Hyderabad
Arthroplasty for Fractures Cost in Hyderabad
The cost of arthroplasty for fractures in Hyderabad depends on the complexity of the condition, the technology and implants used, and the care needed before and after the procedure. Your treating doctor will share a personalised estimate after your consultation.
| Procedure | Approximate Cost Range |
|---|---|
| Arthroplasty for Fractures | Shared after consultation |
The final cost may vary depending on your individual condition, findings during the procedure, and whether any additional procedures are required.
Factors That Influence Arthroplasty for Fractures Cost
- →
Complexity and severity of the condition being treated
- →
Type of anaesthesia and surgical technique used
- →
Pre-operative investigations and evaluations required
- →
Duration of hospital stay and post-operative care needed
- →
Any additional procedures performed during the same surgery
Is Arthroplasty for Fractures Covered by Insurance?
Arthroplasty for Fractures may be covered by health insurance when it is performed for a medically necessary condition. Coverage depends on your insurance policy, inclusions, and the approval process.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Satish Reddy Gandavarapu
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Satish Reddy Gandavarapu will evaluate your symptoms, medical history, and investigation reports to determine whether Arthroplasty for Fractures is right for you, and will guide you on the expected outcomes and estimated cost based on your individual condition.
Common Questions
Frequently Asked Questions
Not sure which treatment is right for you?
Book a consultation with Dr. Satish Reddy and get a personalised treatment plan.