Periprosthetic supracondylar femur fractures following total knee arthroplasty
- PMID: 15188103
- DOI: 10.1016/j.arth.2003.12.078
Periprosthetic supracondylar femur fractures following total knee arthroplasty
Abstract
Periprosthetic supracondylar femur fractures following total knee arthroplasty (TKA) are an infrequent, but devastating, complication. From 1998 to 2000, we treated 30 supracondylar femur fractures above TKAs. Eighteen fractures were managed with retrograde intramedullary rod fixation (FIMR) and the other 12 fractures with traditional open reduction with internal fixation (ORIF). Follow-up averaged 3 years, with Knee Society knee scores being 84 and 82, respectively. Complications included 1 above-knee amputation for deep sepsis and 1 nonunion with varus alignment. FIMR appears to be the treatment of choice when it is feasible. However, traditional ORIF also may yield satisfactory results in those designs that cannot accommodate retrograde FIMR fixation.
Similar articles
-
Management and outcome of periprosthetic fractures after total knee arthroplasty.J Trauma. 2010 Jun;68(6):1464-70. doi: 10.1097/TA.0b013e3181d53f81. J Trauma. 2010. PMID: 20539190
-
Similar outcomes of locking compression plating and retrograde intramedullary nailing for periprosthetic supracondylar femoral fractures following total knee arthroplasty: a meta-analysis.Knee Surg Sports Traumatol Arthrosc. 2017 Sep;25(9):2921-2928. doi: 10.1007/s00167-016-4050-0. Epub 2016 Feb 20. Knee Surg Sports Traumatol Arthrosc. 2017. PMID: 26897137 Review.
-
Periprosthetic Fractures of the Distal Femur: Is Open Reduction and Internal Fixation or Distal Femoral Replacement Superior?J Arthroplasty. 2020 May;35(5):1402-1406. doi: 10.1016/j.arth.2019.12.033. Epub 2019 Dec 20. J Arthroplasty. 2020. PMID: 31924488
-
[Osteosynthesis for periprosthetic supracondylar fracture above a total knee arthroplasty using a locking compression plate].Acta Chir Orthop Traumatol Cech. 2009 Dec;76(6):473-8. Acta Chir Orthop Traumatol Cech. 2009. PMID: 20067694 Czech.
-
Periprosthetic supracondylar femoral fractures above a total knee replacement: compatibility guide for fixation with a retrograde intramedullary nail.J Arthroplasty. 2014 Aug;29(8):1639-41. doi: 10.1016/j.arth.2013.07.027. Epub 2014 Jun 11. J Arthroplasty. 2014. PMID: 24929282 Review.
Cited by
-
Early femoral condyle insufficiency fractures after total knee arthroplasty: treatment with delayed surgery and femoral component revision.Arthroplast Today. 2018 Mar 30;4(2):249-253. doi: 10.1016/j.artd.2018.02.013. eCollection 2018 Jun. Arthroplast Today. 2018. PMID: 29896563 Free PMC article.
-
Distal Femoral Replacement Following an Intraoperative Periprosthetic Fracture in a Patient with Prior Bone Mulch ACL Reconstruction.Case Rep Orthop. 2019 Mar 31;2019:6213807. doi: 10.1155/2019/6213807. eCollection 2019. Case Rep Orthop. 2019. PMID: 31049236 Free PMC article.
-
Outcome and incidence of periprosthetic supracondylar femoral fractures in TKA.Indian J Orthop. 2013 Nov;47(6):591-7. doi: 10.4103/0019-5413.121586. Indian J Orthop. 2013. PMID: 24379465 Free PMC article.
-
Is obesity related with periprosthetic fractures around the knee?Int Orthop. 2016 Aug;40(8):1583-1586. doi: 10.1007/s00264-015-3071-5. Epub 2015 Dec 21. Int Orthop. 2016. PMID: 26686673
-
Locked compression plating versus retrograde intramedullary nailing in the treatment of periprosthetic supracondylar knee fractures: a systematic review and meta-analysis.J Orthop Surg Res. 2021 Jan 22;16(1):78. doi: 10.1186/s13018-021-02222-x. J Orthop Surg Res. 2021. PMID: 33482862 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
