Journal List > J Korean Fract Soc > v.33(1) > 1142119

Lee and Sim: Periprosthetic Fractures following Total Knee Arthroplasty

Abstract

Recently, as the elderly population increases, the incidence of total knee arthroplasty has increased, with a concomitant increase in the frequency of periprosthetic fractures. To determine the treatment plan for fractures, the treatment method should be determined by the patient's age, osteoporosis, fixation status of the implant, and type of fracture. In recent years, operative treatment with reduction and stable fixation, rather than non-operative treatment, was used to promote early joint movement and gait. On the other hand, it is necessary to select an appropriate operative method to reduce complications of surgery, such as nonunion and infection, and expect a good prognosis. In this review, periprosthetic fractures were divided into femur, tibia, and patella fractures, and their causes, risk factors, classification, and treatment are discussed.

Figures and Tables

Fig. 1

Periprosthetic fracture with a comminuted fracture in the medial cortex of the distal femur was fixed with dual locking plates using the minimally invasive plate osteosynthesis (MIPO) technique. (A, B) Preoperative radiographs. (C, D) Postoperative radiographs. (E-G) Radiographs one year after surgery.

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Fig. 2

Extruded nail (A) caused the wear of polyethylene post (B).

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Fig. 3

Periprosthetic fracture of the proximal tibia was fixed with dual locking plates using the minimally invasive plate osteosynthesis (MIPO) technique. (A, B) Preoperative radiographs. (C, D) Postoperative radiographs. (E-G) Radiographs 1 year after surgery.

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Fig. 4

Patellar fracture with non-operative treatment obtained bony union. (A) Radiograph at the time of injury. (B) Radiograph six months after injury.

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ORCID iDs

Byung Hoon Lee
https://orcid.org/0000-0002-1548-5691

Jae Ang Sim
https://orcid.org/0000-0002-2055-6458

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