Knee Replacement Surgeon in Dombivli A periprosthetic fracture is a broken bone that occurs around the components of a total Knee Replacement. These fractures are most often the result of a fall, and usually require revision surgery. A periprosthetic fracture is a broken bone that occurs around the components of a total knee replacement. These fractures are most often the result of a fall, and usually require revision surgery.In determining the extent of the revision needed, your doctor will consider several factors, including the quality of the remaining bone, the type and location of the fracture, and whether the implant is loose. When the bone is shattered or weakened from osteoporosis, the damaged section of bone may need to be completely replaced with a larger revision component.