Distal femoral replacement in periprosthetic fracture around total knee arthroplasty

Jassim, Shivan; McNamara, Iain; Hopgood, P.

doi:10.1016/j.injury.2013.10.032

Cited by 72 publications

(36 citation statements)

References 17 publications

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“…We will address two articles, each of which found reasonable results in their studies. In an article by Jassim et al [62], the author presented a study that involved 11 patients with a mean age of 81 years. The patients suffered from periprosthetic fractures that had an unstable prosthesis with poor bone stock.…”

Section: Endoprosthesismentioning

confidence: 99%

Periprosthetic fractures of the knee: a comprehensive review

Benkovich

Klassov

Mazilis

et al. 2019

Eur J Orthop Surg Traumatol

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Demographic changes have resulted in an increase in the number of older patients diagnosed with degenerative joint disease. Developments in the field of joint arthroplasty allow a broader population to improve their lifestyles. An increased demand for knee arthroplasty has led to a rise in operations performed worldwide. Although there has been a constant propagation of technology and an increase in medical staffing at a professional level, many patients still encounter complications. Though rare, these factors may lead to life-threatening scenarios and a devastating effect on the success of the operation. One such rare complication includes periprosthetic fractures around the knee, a complex injury which requires a cautious and experienced approach. In this review, we analyze the prevalence, risk factors and classification, investigation and treatment options for periprosthetic fractures with total knee arthroplasty.

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Section: Endoprosthesismentioning

confidence: 99%

Periprosthetic fractures of the knee: a comprehensive review

Benkovich

Klassov

Mazilis

et al. 2019

Eur J Orthop Surg Traumatol

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“…However, it is much more technically difficult to operate than a tumor prosthesis, as it cannot solve the simultaneous problems of both diaphyseal femoral fracture and severe comminuted fracture around the femoral prosthesis. There are similar reports regarding the use of a distal femoral replacement for non-tumorous cases, including fractures 141516171819. We treated the patients successfully using a MUTARS® prosthesis for distal femur periprosthetic fracture with severe comminution.…”

Section: Discussionmentioning

confidence: 86%

Revision Arthroplasty Using a MUTARS® Prosthesis in Comminuted Periprosthetic Fracture of the Distal Femur

et al. 2016

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Periprosthetic fractures after total knee arthroplasty (TKA) are gradually increasing, reflecting extended lifespan, osteoporosis, and the increasing proportion of the elderly during the past decade. Supracondylar periprosthetic femoral fracture is a potential complication after TKA. Generally, open reduction and internal fixation are the conventional option for periprosthetic fracture after TKA. However, the presence of severe comminution with component loosening can cause failure of internal fixation. Although the current concept for periprosthetic fracture is open reduction and internal fixation, we introduce an unusual case of revision arthroplasty using a MUTARS® prosthesis for a comminuted periprosthetic fracture in the distal femur after TKA, with technical tips.

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“…However, in cases of severe bone loss or complete clinical insufficiency of all major ligaments (medial or lateral collateral ligament, anterior cruciate ligament, posterior cruciate ligament), increased constraint is required, from a posterior stabilized prosthesis to a condylar constrained knee, or a rotating hinge device 1213. GMRS is a comprehensive modular implant system with rotating hinge that allows for massive bone reconstruction after tumor resections, fractures, nonunions, or salvage TKA revision 1415…”

Section: Discussionmentioning

confidence: 99%

Short and mid term results of revision total knee arthroplasty with Global Modular Replacement System

Marczak

Kowalczewski

Czubak

et al. 2017

IJOO

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Background:The original knee megaprostheses with fixed or rotating hinge articulation were custom made and only used for reconstruction of the knee following distal femoral or proximal tibial tumor resections. The aim of the study was to analyze the short- and mid-term results of revision total knee arthroplasty with Global Modular Replacement System (GMRS) used in difficult situations not amenable to reconstruction with standard total knee replacement implants.Materials and Methods:Nine patients (9 knees) were treated with this comprehensive modular implant system, with a mean age of 73.7 years (range 56–83 years) and a mean followup of 5 years (range 3–8 years). Two patients were treated for distal femoral nonunion, five for distal femur periprosthetic fracture and two for periprosthetic joint infection.Results:The mean Knee Society Score: Knee and functional scores were 77.9 and 40 points, respectively. All demonstrated full extension and flexion was at least 90°. Recurrence of infection was present in one patient. No signs of loosening, dislocation, or implant failure were observed.Conclusions:Based on our small series of patients that represent severe cases, GMRS provides relatively good mid-term functional results, pain relief, and good implant survivorship with a low complication rate. This salvage procedure allows elderly, infirm patients to regain early ambulatory ability.

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Distal femoral replacement in periprosthetic fracture around total knee arthroplasty

Cited by 72 publications

References 17 publications

Periprosthetic fractures of the knee: a comprehensive review

Periprosthetic fractures of the knee: a comprehensive review

Revision Arthroplasty Using a MUTARS® Prosthesis in Comminuted Periprosthetic Fracture of the Distal Femur

Short and mid term results of revision total knee arthroplasty with Global Modular Replacement System

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