Medial femoral condyle fracture after cementless unicompartmental knee replacement: A rare complication

Akan, Burak; Yıldırım, Tuğrul; Karagüven, Doğaç

doi:10.1016/j.knee.2012.10.023

Cited by 8 publications

(11 citation statements)

References 18 publications

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“…Only a few case reports describe periprosthetic femoral condyle fractures: one which occurred during surgery, and two which occurred during falls after one and three years. 67 - 69 The first case (hoffa-type coronal fracture) occurred during surgery, but was only noticed directly thereafter and was successfully treated in a non-weight-bearing cast for six weeks. 69 The other two cases concerned AO-B2 type displaced medial condyle fractures diagnosed on radiographs and successfully treated surgically with closed reduction and percutaneous cannulated screw fixation.…”

Section: Resultsmentioning

confidence: 99%

A structured evaluation of the symptomatic medial Oxford unicompartmental knee arthroplasty (UKA)

et al. 2021

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Unicompartmental knee arthroplasty (UKA) has several advantages over total knee arthroplasty; however, in many reports, the risk of revision remains higher after UKA. Many reasons for failure of UKA exist. Successful treatment starts with accurate assessment of the symptomatic UKA as a specific mode of failure requires a specific solution. A structured and comprehensive evaluation aids assessment of the symptomatic UKA. This review provides an overview of the causes for a symptomatic medial UKA, its risk factors, diagnostic modalities that can be used, and briefly discusses treatment options. Cite this article: EFORT Open Rev 2021;6:850-860. DOI: 10.1302/2058-5241.6.200105

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Section: Resultsmentioning

confidence: 99%

A structured evaluation of the symptomatic medial Oxford unicompartmental knee arthroplasty (UKA)

et al. 2021

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“…Several factors can be attributed to the fractures in our patient. As we discussed previously, the replacement of an intramedullary rod during the procedure, may have created a stress riser effect, which eventually diminished the structural strength of the femur [7]. Subsequent fractures with minor trauma may indicate that osteoporosis might have played a role in the etiology.…”

Section: Discussionmentioning

confidence: 95%

“…One year after an uneventful postoperative recovery, the patient fell on the ground level, while walking on the street. A minimally displaced medial femoral condyle fracture was diagnosed without ligamentous instability, and a closed reduction and percutaneous fixation with 6.5 mm cannulated cancellous lag screws was performed [7]. Prior to the fracture, the patient's Oxford Knee Score (OKS) was 46.…”

Section: Case Reportmentioning

confidence: 99%

“…The most common complications are aseptic loosening, polyethylene dislocations, unexplained pain, and periprosthetic tibial fractures [2,4] The prevalence of supracondylar fractures after total knee replacement (TKR) is reported to be 0.5%-2% [5,6]. Although few case reports have been published on condylar fractures, to our knowledge, periprosthetic supracondylar femoral fracture after UKR has not been reported in the literature [7,8,9].…”

Section: Introductionmentioning

confidence: 99%

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Supracondylar extra-articular femur fracture after cementless unicompartmental knee replacement: A rare complication

Yıldırım¹,

Karagüven

Akan

2020

Preprint

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“…Although a greater impaction force was applied to uncemented tibial components, there were no differences in the tibial periprosthetic fracture rates among our cases. There was one femoral condyle fracture in the uncemented UKA group that was treated with closed reduction and percutaneous fixation [27]. …”

Section: Discussionmentioning

confidence: 99%

Cemented versus Uncemented Oxford Unicompartmental Knee Arthroplasty: Is There a Difference?

Akan

Karagüven

Güçlü

et al. 2013

Advances in Orthopedics

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Purpose. The use of uncemented unicompartmental knee prostheses has recently increased. However, few studies on the outcomes of uncemented unicompartmental knee prostheses have been performed. The purpose of this study was to compare the outcomes of cemented and uncemented Oxford unicompartmental knee arthroplasty. Materials and Methods. This retrospective observational study evaluated the clinical and radiological outcomes of 263 medial Oxford unicompartmental prostheses (141 cemented, 122 uncemented) implanted in 235 patients. The mean follow-up was 42 months in the cemented group and 30 months in the uncemented group. Results. At the last follow-up, there were no significant differences in the clinical results or survival rates between the two groups. However, the operation time in the uncemented unicompartmental knee arthroplasty group was shorter than that in the cemented unicompartmental knee arthroplasty group. In addition, the cost of uncemented arthroplasty was greater. Conclusion. Despite the successful midterm results in the uncemented unicompartmental knee arthroplasty group, a longer follow-up period is required to determine the best fixation mode.

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Medial femoral condyle fracture after cementless unicompartmental knee replacement: A rare complication

Cited by 8 publications

References 18 publications

A structured evaluation of the symptomatic medial Oxford unicompartmental knee arthroplasty (UKA)

A structured evaluation of the symptomatic medial Oxford unicompartmental knee arthroplasty (UKA)

Supracondylar extra-articular femur fracture after cementless unicompartmental knee replacement: A rare complication

Cemented versus Uncemented Oxford Unicompartmental Knee Arthroplasty: Is There a Difference?

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