Periprosthetic fractures in the distal femur following total knee replacement: A review and guide to management

Total diz artroplastisi sonrası iki taraflı periprostetik distal femur kırıkları

“…Currently, operative treatment has been shown to provide better results as a treatment for displaced fractures. [3] Historically, the open reduction and internal fixation of these fractures with conventional plates and screws have been plagued by significant rates of malunion and nonunion. [2] Moran et al [10] reported 15 displaced fractures treated with condylar screw and plate, blade plates, and buttress plates; 10 of these 15 patients exhibited good results.…”

“…[1,2] Managing distal femoral fractures following a TKA can be complex and requires the equipment, perioperative support and surgical skills of both trauma and revision arthroplasty. [3] The treatment goals for fractures of the distal femur proximal to TKA are to obtain and maintain good alignment and stability that allow an early range of motion (ROM).…”

Periprosthetic fractures around total knee arthroplasty

“…If there are concerns regarding prosthesis fixation, approaching the fracture through the old arthroplasty scar may be desirable and allows the surgeon to consider revision arthroplasty if indicated. 31 Depending on the surgical approach used, and the personality of the fracture, reduction can be achieved in one of three ways.…”

Long-term fate of femoral allograft for periprosthetic fracture around a revision knee arthroplasty: A case report and review of the literature

“…Periprosthetic fractures are more common in the elderly population and in females 7 . Additional risk factors include rheumatoid arthritis, chronic steroid treatment, reduced bone stock, neurological disorders, revision surgery, notching of the anterior cortex of the femur, and in particular poor bone stock 3,[9][10][11] . Primary osteopenia or secondary to stress shielding around a stemmed revision femoral component further increases the difficulty of achieving good fracture fixation by traditional methods.…”