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HOME > J Musculoskelet Trauma > Volume 33(1); 2020 > Article
Review Article Periprosthetic Fractures following Total Knee Arthroplasty
Byung Hoon Lee, Jae Ang Sim
Journal of Musculoskeletal Trauma 2020;33(1):52-61.
DOI: https://doi.org/10.12671/jkfs.2020.33.1.52
Published online: January 31, 2020
Department of Orthopaedics Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea. sim_ja@gilhospital.com
Corresponding author:  Jae Ang Sim, Tel: +82-32-460-3384, Fax: +82-32-423-3384, 
Email: sim_ja@gilhospital.com

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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.


J Korean Fract Soc. 2020 Jan;33(1):52-61. Korean.
Published online Jan 23, 2020.
https://doi.org/10.12671/jkfs.2020.33.1.52
Copyright © 2020 The Korean Fracture Society. All rights reserved.
Review

Periprosthetic Fractures following Total Knee Arthroplasty

Byung Hoon Lee, M.D., Ph.D. and Jae Ang Sim, M.D., Ph.D.
    • Department of Orthopaedics Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
  • Correspondence to: Jae Ang Sim, M.D., Ph.D. Department of Orthopaedics Surgery, Gachon University Gil Medical Center, Gachon University College of Medicine, 21 Namdong-daero 774beon-gil, Namdong-gu, Incheon 21565, Korea. Tel: +82-32-460-3384, Fax: +82-32-423-3384, Email: sim_ja@gilhospital.com
Received January 08, 2020; Revised January 09, 2020; Accepted January 09, 2020.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords
Knee, Arthroplasty, Periprosthetic fractures

Figures

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.

Fig. 2
Extruded nail (A) caused the wear of polyethylene post (B).

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.

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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    Periprosthetic Fractures following Total Knee Arthroplasty
    J Korean Fract Soc. 2020;33(1):52-61.   Published online January 31, 2020
    DOI: https://doi.org/10.12671/jkfs.2020.33.1.52
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