Midterm Results of Treatment with a Retrograde Nail for Periprosthetic Fractures of the Femur Following Total Knee Arthroplasty

Kyung-Taek Kim; Jin-Hun Kang; Lih Wang; Jae-Sung Hwang

doi:10.12671/jkfs.2007.20.4.309

Journal List > J Korean Fract Soc > v.20(4) > 1037603

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Kim, Kang, Wang, and Hwang: Midterm Results of Treatment with a Retrograde Nail for Periprosthetic Fractures of the Femur Following Total Knee Arthroplasty

Original Article

Journal of the Korean Fracture Society 2007; 20(4): 309-314.

Published online: 14 June 2016

DOI: https://doi.org/10.12671/jkfs.2007.20.4.309

Midterm Results of Treatment with a Retrograde Nail for Periprosthetic Fractures of the Femur Following Total Knee Arthroplasty

Kyung-Taek Kim, M.D., Jin-Hun Kang, M.D., Lih Wang, M.D., Jae-Sung Hwang, M.D.

Department of Orthopedic Surgery, College of Medicine, Donga University, Busan, Korea.

Address reprint requests to: Kyung-Taek Kim, M.D. Department of Orthopedic Surgery, College of Medicine, Dong-A University, 3-1, Dongdaesin-dong, Seo-gu, Busan 602-715, Korea. Tel: 82-51-240-5169, Fax: 82-51-254-6757, ktkim@dau.ac.kr

Abstract

Purpose

To analyze the midterm results of the treatment with a retrograde nail for periprosthetic fractures of the femur following total knee arthroplasty.

Materials and Methods

Between Jan 1998 and Jan 2004, 11 cases in 11 patients were treated for the periprosthetic fractures following total knee arthroplasty. The mean follow-up was 42.0 (30~98) months and the mean age was 66.0 (57~79) years old. 2 were males and 9 patients were females. In all cases, retrograde nailing was done for the periprosthetic fractures. Postoperative range of motion, HSS knee rating score, femorotibial angle, the time required for union, complications were evaluated.

Results

Postoperative range of motion was 103.6° degrees on an average, HSS knee rating score was 83.5 points on an average at the last follow up. The mean angulation on radiograph was valgus 6.3°. The mean time required for union was 4 months. One had a newly fracture line at proximal part of supracondylar fracture, but there was no significant in clinical course. There was no prostheses required revision.

Conclusion

It appears that retrograde nail is a reliable surgical technique for periprosthetic fractures of the femur following total knee arthroplasty with low complication rate. The midterm results in our study showed that none of the prostheses required revision.

Keywords: Periprosthetic fracture, Total knee arthroplasty, Retrograde nail

Figures and Tables

Fig. 1

Roentgenographic findings after supracondylar periprosthetic fracture

(A) Preoperative anteroposterior and lateral view

(B) Postoperative anteroposterior and lateral view

There was seen another fracture line on proximal part of femur postoperatively.

Fig. 2

Roentgenographic findings after supracondylar periprosthetic fracture

(A) Preoperative anteroposterior and lateral view

(B) Postoperative 4 months anteroposterior and lateral view.

Bone union achieved at the time of last follow-up.

Table 1

Summary of cases

^*TKA: Total knee arthroplasty, ^†ROM: Range of motion, ^‡HSS: Hospital for special surgery

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