Periprosthetic tibial fractures in total knee arthroplasty – an outcome analysis of a challenging and underreported surgical issue

Schreiner, Anna J.; Schmidutz, Florian; Ateschrang, Atesch; Ihle, Christoph; Stöckle, Ulrich; Ochs, Björn Gunnar; Gonser, Christoph

doi:10.1186/s12891-018-2250-0

Cited by 32 publications

(25 citation statements)

References 31 publications

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“…With the development of X-ray, CT technique and so on, clinicians can conduct the simple 2D image analysis for the complex and comminuted fractures, but the fracture morphology cannot be reflected intuitively. According to Schreiner et al (13), clinicians are limited by factors such as the angle of the fracture site or overlapping fracture patches and occlusion, which often leads to long operation time, excessive blood loss and uneven joint surface, resulting in high incidence of postoperative complications. Therefore, the simple 2D X-ray examination and CT scan fail to meet the clinical needs of orthopedics.…”

Section: Discussionmentioning

confidence: 99%

Clinical feasibility and application value of computer virtual reduction combined with 3D printing technique in complex acetabular fractures

Wan

Zhang

et al. 2019

Exp Ther Med

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This study investigated the clinical feasibility and application value of computer virtual reduction combined with three-dimensional (3D) printing technique in patients with complex acetabular fracture. Ninety-six patients diagnosed with complex acetabular fracture in the Orthopedics Department in The Second Affiliated Hospital of Luohe Medical College from January 2016 to June 2017 were selected and randomly divided into the routine operation group (n=48) and the 3D model group (n=48) according to the admission number of the patients. In the 3D model group, computed tomography (CT) scan was performed preoperatively, and the model was made using the virtual technique and 3D printing technique. The surgical scheme was designed according to the model. Patients in the routine operation group were diagnosed with the conventional CT scan without using the computer virtual technique and 3D printing technique. During operation, the operation time, amount of intraoperative bleeding and times of intraoperative fluoroscopy were recorded in both groups. After operation, the incidence rate of such complications as inflammatory response, iatrogenic neurological symptoms and loss of reduction were recorded in both groups. Moreover, the reduction quality of acetabular fracture was evaluated according to the Matta imaging score at 3 days after operation, and the hip joint function was evaluated based on the Hariss score at 6 months after operation. In the 3D model group, the operation time was significantly shorter than that in the control group, the amount of intraoperative bleeding and times of intraoperative fluoroscopy were significantly less than those in the routine operation group, and the incidence rate of postoperative complications was obviously lower than that in the routine operation group (P<0.05). In conclusion, computer virtual reduction combined with the 3D printing technique can significantly reduce the operation time, amount of intraoperative bleeding, times of intraoperative fluoroscopy and incidence rate of postoperative complications without adverse effects on the reduction quality of acetabular fracture and hip joint function of patients, which has a higher clinical application value and greater social significance.

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Section: Discussionmentioning

confidence: 99%

Clinical feasibility and application value of computer virtual reduction combined with 3D printing technique in complex acetabular fractures

Wan

Zhang

et al. 2019

Exp Ther Med

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“…Sarcopenia is associated with multiple adverse outcomes, including various diseases such as cardiovascular disease 3,4 , stroke 5 , liver disease 6–8 , pulmonary disease 9 , chronic kidney disease 10,11 , gastrointestinal disorders 12 , malignancy 13 , postoperative morbidity 14,15 , emotional disorders 16 , and all-cause mortality 17 . Therefore, it is essential to determine the prevalence and causes of sarcopenia to improve patients’ outcomes.…”

Section: Introductionmentioning

confidence: 99%

Circadian rhythm disruption is associated with an increased risk of sarcopenia: a nationwide population-based study in Korea

Choi

Park

Chung

et al. 2019

Sci Rep

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Reduced sleep quality is associated with an increased risk of sarcopenia. However, the potential effects of disturbing the regular circadian rhythm, as occurs with shift work, on the risk of sarcopenia have not been established. Data from 9105 workers from the 2008–2011 Korean National Health and Nutrition Examination Survey were analyzed. Sarcopenia, measured by dual-energy X-ray absorptiometry, was defined as one standard deviation below the mean of the appendicular skeletal muscle/body mass index value of a young reference group. Compared to the group that had never experienced shift work, the odds ratio (OR) for sarcopenia with a 95% confidence interval (95% CI) for the shift work group was 1.7 (1.5–1.9); the association remained even after adjusting for confounding variables, including age, sex, total fat mass, insulin resistance profile, smoking, alcohol intake, diet, and physical activity. The results of the subgroup analysis indicated that the highest risk of sarcopenia was among workers engaging in shift work with an irregular schedule (OR 1.8, 95% CI 1.3–2.4). Disruption of circadian rhythm by shift work was associated with increased risk of sarcopenia. Intervention strategies are needed to prevent sarcopenia in shift workers.

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“…With reference to the current literature, the treatment recommended for periprosthetic tibial fractures after TKA is conservative treatment such as cast-and-brace fixation for cases without fracture dislocation, and the treatment choice for those with dislocation depends on whether or not there is loosening of the artificial joint in addition to the periprosthetic femoral fracture. Although absence of loosening is considered an indication for open reduction and internal fixation (ORIF), other treatments need to be selected if sufficient fixation cannot be obtained because of the position and size of the keel of the tibial component [ 7 , 10 , 11 ]. In essence, cases with loosening require artificial joint replacement, and ORIF may be added depending on the case.…”

Section: Discussionmentioning

confidence: 99%

Periprosthetic tibial fracture after total knee arthroplasty with popliteal artery injury—A case report

Konishi

Maegawa

Nakao

et al. 2020

Trauma Case Reports

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We present the case of a 79-year-old woman who presented at our center with a periprosthetic tibial fracture with a popliteal artery injury after total knee arthroplasty. Anastomosis of the popliteal artery was performed on the day of injury, and was later treated by open reduction and internal fixation. The patient was able to walk 3 months after injury. The present case was difficult to treat because of the arterial injury associated with periprosthetic fracture. Although revision of the implant was considered, open reduction and internal fixation was selected because of the severity of soft-tissue damage. The mechanism of injury is not uncommon, and it is expected that similar fractures will become more prevalent in the future as the number of knee replacement surgeries increases.

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Periprosthetic tibial fractures in total knee arthroplasty – an outcome analysis of a challenging and underreported surgical issue

Cited by 32 publications

References 31 publications

Clinical feasibility and application value of computer virtual reduction combined with 3D printing technique in complex acetabular fractures

Clinical feasibility and application value of computer virtual reduction combined with 3D printing technique in complex acetabular fractures

Circadian rhythm disruption is associated with an increased risk of sarcopenia: a nationwide population-based study in Korea

Periprosthetic tibial fracture after total knee arthroplasty with popliteal artery injury—A case report

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