Periprosthetic Fractures Around Total Knee Arthroplasty

Overview

Journal Ann R Coll Surg Engl

Specialty General Surgery

Date 2012 Sep 5

PMID 22943223

Citations 21

Authors

S S Sarmah

S Patel

G Reading

M El-Husseiny

S Douglas

F S Haddad

Affiliations

Soon will be listed here.

Abstract

Introduction: The number of total knee arthroplasties performed continues to rise annually and it would be expected that complications, which include periprosthetic fractures, will also therefore become more commonplace. This article reviews the current literature regarding this injury and identifies the treatment principles that enable patients to regain optimal function.

Methods: A comprehensive search of the Pubmed and Embase™ databases was performed to identify relevant articles. Keywords and MeSH (Medical Subject Headings) terms included in the search strategy were 'periprosthetic fracture(s)', 'femur', 'tibia', 'patella(r)', 'complication(s)', 'failure(s)', 'risk(s)', 'prevalence', 'incidence', 'epidemiology' and 'classification(s)'. The search was limited to all articles published in English and reference lists from the original articles were reviewed to identify pertinent articles to include in this review. A total number of 43 studies were identified.

Results: Common treatment aims have been identified when managing patients with a periprosthetic fracture around total knee arthoplasty. The main criterion that determines which option to choose is the degree of remaining bone stock and the amount of fracture displacement.

Conclusions: Treatment of a periprosthetic fracture around total knee arthroplasty will either be non-operative, osteosynthesis or revision arthroplasty. It is imperative that a suitable option is chosen and based on the published literature, pathways are outlined to aid the surgeon.

Citing Articles

Biomechanical Analysis of the Use of Stems in Revision Total Knee Arthroplasty.

Innocenti B, Bori E, Pianigiani S Bioengineering (Basel). 2022; 9(6).

PMID: 35735502 PMC: 9220056. DOI: 10.3390/bioengineering9060259.

Tibial periprosthetic fractures in Total Knee Arthroplasty - A scoping review.

Shukla T, Vaish A, Vaishya R, Patralekh M J Clin Orthop Trauma. 2022; 29:101892.

PMID: 35601511 PMC: 9118506. DOI: 10.1016/j.jcot.2022.101892.

Distal femur periprosthetic knee fractures in elderly patients: clinical and radiographic outcome after internal fixation.

Canton G, Tomic M, Giunta M, Maritan G, Murena L Acta Biomed. 2021; 92(S3):e2021028.

PMID: 34313656 PMC: 8420835. DOI: 10.23750/abm.v92iS3.11770.

Simultaneous Bilateral Patella Fracture After Single Stage Bilateral Total Knee Arthroplasty: A Report of Two Cases and Literature Review.

Thorat B, Singh A, Vohra R, Bansal S J Orthop Case Rep. 2021; 10(6):36-40.

PMID: 33489966 PMC: 7815669. DOI: 10.13107/jocr.2020.v10.i06.1866.

Locked compression plating versus retrograde intramedullary nailing in the treatment of periprosthetic supracondylar knee fractures: a systematic review and meta-analysis.

Magill H, Ponugoti N, Selim A, Platt J J Orthop Surg Res. 2021; 16(1):78.

PMID: 33482862 PMC: 7821478. DOI: 10.1186/s13018-021-02222-x.

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