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

doi:10.12671/jkfs.2007.20.4.309

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Original Article
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.; Journal of the Korean Fracture Society 2007;20(4):309-314.
DOI: https://doi.org/10.12671/jkfs.2007.20.4.309
Published online: June 14, 2016

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

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Abstract
REFERENCES

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.
Key words: Periprosthetic fracture, Total knee arthroplasty, Retrograde nail

REFERENCES

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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

Figure & Data

REFERENCES

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

J Korean Fract Soc. 2007;20(4):309-314. Published online October 31, 2007

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

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

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.

Fig. 1

Fig. 2

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

Table 1

Summary of cases

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

Table 1 Summary of cases

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