Successful outcome with minimally invasive plate osteosynthesis for periprosthetic tibial fracture after total knee arthroplasty

Kim, H.-J.; Park, K.-C.; Kim, J.-W.; Oh, Chang Wug; Kyung, Hee-Soo; Oh, Jong Keon; Park, K.-H.; Yoon, Seong Dae

doi:10.1016/j.otsr.2016.10.007

Cited by 30 publications

(27 citation statements)

References 21 publications

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“…Periprosthetic fractures of the tibia, or fractures below TKAs, are less common than periprosthetic fractures of the distal femur, with a prevalence of between 0.4 and 1.7% [1][2][3]. Many authors have reported several fixation options to treat these difficult fractures [4][5][6][7]. However, no consensus exists regarding the optimal fixation for periprosthetic tibial fractures.…”

Section: Discussionmentioning

confidence: 99%

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Ilizarov external fixation for a periprosthetic tibial fracture in severe osteoporosis: a case report

Nozaka

Miyakoshi

Satô

et al. 2020

BMC Musculoskelet Disord

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Background: The incidence of periprosthetic fractures after total knee arthroplasty (TKA) is rising due to the increasing number of TKAs performed annually and the growing elderly population. A periprosthetic fracture of the proximal tibia following TKA is a rare injury that may be a challenging clinical scenario. Case presentation: The case of an 84-year-old woman who sustained a periprosthetic tibial fracture 10 years after a TKA is presented. This patient had multiple risk factors. The fracture was not deemed amenable to conventional treatment because the bone fragment was too small. This patient underwent fixation of her tibial fracture above the TKA using a five-ring Ilizarov external fixator. This allowed immediate full weight-bearing. The fixator was removed at 12 weeks, at which time the fracture was solidly healed. At the most recent follow-up, 2 years from injury, she was fully weight-bearing without walking aids and had a knee range of motion (ROM) of 0-110°. Conclusion: To the best of our knowledge, this is the first report in which Ilizarov external fixation has been used for a periprosthetic tibial fracture after TKA.

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Section: Discussionmentioning

confidence: 99%

“…In the present case, the fracture occurred in a patient with severe rheumatoid arthritis, osteoporosis, and heart failure. Kim et al reported that osteoporosis, such as that which occurs with old age, rheumatoid arthritis, and use of corticosteroids, is a risk factor for periprosthetic tibial fractures [4].…”

Section: Discussionmentioning

confidence: 99%

Ilizarov external fixation for a periprosthetic tibial fracture in severe osteoporosis: a case report

Nozaka

Miyakoshi

Satô

et al. 2020

BMC Musculoskelet Disord

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“…In some cases, even the postoperative CT found that the articular surface of the lateral tibial bone has not been well restored .At the same time, Ringus et al (11) found that compared with the tibial plateau articular surface collapse of less than 10mm, the tear of the lateral meniscus increased more than 10mm. Daniel Stahl et al (12) found that about 30% of the meniscus needed to be repaired during the operation, while Park HJ et al Performed 661 simultaneous repairs of the lateral tibial plateau and meniscus at the same time, and achieved good knee function after operation (13).Therefore, the current combination of C-arm machine and arthroscopy for the treatment of tibial plateau Schatzker III fractures has become a trend. Arthroscopic visualization surgery is a very beneficial technique.…”

Section: Technical Progress： 21 C-arm Machine and Arthroscopy Assistmentioning

confidence: 99%

Advances in Surgical Management of Schatzker III Tibial Plateau Fractures

Gan¹,

Zhong²,

Wang³

et al. 2020

ijSciences

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The tibial plateau Schatzker type Ⅲ fracture is a simple lateral collapse fracture, which is mainly seen in the low energy injuries of the knee joint in older patients with osteoporosis. (1-3) The treatment options for this type of fracture are open reduction and internal fixation. Repairing the alignment of the collapsed joint surface and the tibial force line is the final goal of surgical treatment. Usually the choice of internal fixation is the combination of ship valve screw arrangement and support steel plate. (4)Many authors recommend avoiding the use of simple hollow screws, especially in comminuted fractures with more severe joint defects, as this can easily lead to secondary collapse of the joint.(5)The traditional surgical method is an anterior-lateral approach with open reduction and internal fixation. Due to the long incision, large trauma, and poor medical compliance of the elderly, it is prone to complicated knee stiffness and traumatic arthritis. The surgical effect is not satisfactory.

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“…In 2017, Kim et al [37] aimed to evaluate the effectiveness of the minimally invasive plate osteosynthesis (MIPO) technique with locking plates for periprosthetic tibial fractures after TKA. Their study covered 16 patients.…”

Section: Articles Covering Tibial Fractures After Tkamentioning

confidence: 99%

Periprosthetic fractures after total knee arthroplasty: review

Creţu

Șerban

Zaharia

et al. 2019

Romanian Journal of Orthopaedic Surgery and Traumatology

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This review of literature classifies and describes the most common periprosthetic fractures after total knee arthroplasty. Classification systems are usually considered useful when they describe the condition and offer guidelines for the management of a certain condition and are specific and comprehensive. The Lewis and Rorabeck classification can be used to describe these fractures. The review not only provides the results of the classic techniques, but also new and combined techniques tried by some of the authors. For this review, only original studies, published between 2013 and 2019, were selected. The articles included in the database were selected from PubMed, ScienceDirect and SpringerLink. The searched keywords used to identify the articles were TKA, periprosthetic fractures and total knee arthroplasty. The aim of this paper was to review the clinical studies related to periprosthetic fractures after total knee arthroplasty from the last six years, in order to understand current perspectives, epidemiology, treatment, and management.In conclusion, periprosthetic fractures after total knee arthroplasty represent an important problem in medicine, but due to the low number of cases. Despite the increase in incidence, guidelines are mostly based on retrospective studies, personal observations, and expert opinion. The consensus is that treatment should be assigned depending on the patient's profile and the fracture's characteristics. Further studies should be performed in order to guide future practitioners in the treatment of periprosthetic fractures.

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Successful outcome with minimally invasive plate osteosynthesis for periprosthetic tibial fracture after total knee arthroplasty

Abstract: IV.

Cited by 30 publications

References 21 publications

Ilizarov external fixation for a periprosthetic tibial fracture in severe osteoporosis: a case report

Ilizarov external fixation for a periprosthetic tibial fracture in severe osteoporosis: a case report

Advances in Surgical Management of Schatzker III Tibial Plateau Fractures

Periprosthetic fractures after total knee arthroplasty: review

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