Kang-Il Kim; Kye-Youl Cho; Donggeun Kang

doi:10.12671/jkfs.2011.24.4.382

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Revision Total Knee Arthroplasty in the Treatment of Periprosthetic Fracture around the Knee: Kang-Il Kim, M.D., Ph.D., Kye-Youl Cho, M.D., Donggeun Kang, M.D.; Journal of the Korean Fracture Society 2011;24(4):382-387.
DOI: https://doi.org/10.12671/jkfs.2011.24.4.382
Published online: October 30, 2011

Department of Orthopaedic Surgery, Center for Joint Diseases and Rheumatism, Kyung Hee University Hospital, Seoul, Korea.

Address reprint requests to: Kang-Il Kim, M.D. Department of Orthopaedic Surgery, Center for Joint Diseases and Rheumatism, Kyung Hee University Hospital at Gangdong, 892, Dongnam-ro, Gangdong-gu, Seoul 134-727, Korea. Tel: 82-2-440-6151, Fax: 82-2-440-6296, drkim@khu.ac.kr

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REFERENCES

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Fig. 1

(A, B) Initial radiographs show a type II periprosthetic femoral fracture with a very distal location. Intraoperatively, the loose femoral component was recognized and was needed to be revised.

(C, D) Since the tibial component was stable, only the femoral side was revised using a long stem component which was cemented to the metaphysic and press fit into the diaphysis.

Fig. 2

(A, B) Initial radiographs show a type III periprosthetic femoral fracture in an 82 years old female with severe osteoporosis. A distal femoral replacement was performed because of small size and poor bone quality of the distal fragement. Also since the tibial component was malpositioned (varus fitting) tibial revision was performed simultaneously.

(C, D) After a distal femoral replacement postoperative radiographs show good alignment.

Fig. 3

(A) Anteroposterior and lateral radiographs show a type IIB periprosthetic tibial fracture. Severe osteolysis around tibial stem is observed.

(B) Revision arthroplasty with a cemented long stem component was performed.

(C) After 6 years postoperatively the followup radiographs show healed fracture site.

Fig. 4

(A) Initial radiographs show a type IVB periprosthetic tibial fracture with component loosening.

(B) This fracture was treated with revision arthroplasty using constrained prosthesis and cerclage wiring of the tibial tubercle.

Table 1

Classification for postoperative periprosthetic femoral fractures

^*MIPO: minimally invasive plate osteosynthesis.

Table 2

Classification for postoperative periprosthetic tibial fractures

Figure & Data

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Revision Total Knee Arthroplasty in the Treatment of Periprosthetic Fracture around the Knee

J Korean Fract Soc. 2011;24(4):382-387. Published online October 31, 2011

DOI: https://doi.org/10.12671/jkfs.2011.24.4.382

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Revision Total Knee Arthroplasty in the Treatment of Periprosthetic Fracture around the Knee

Fig. 1 (A, B) Initial radiographs show a type II periprosthetic femoral fracture with a very distal location. Intraoperatively, the loose femoral component was recognized and was needed to be revised. (C, D) Since the tibial component was stable, only the femoral side was revised using a long stem component which was cemented to the metaphysic and press fit into the diaphysis.

Fig. 2 (A, B) Initial radiographs show a type III periprosthetic femoral fracture in an 82 years old female with severe osteoporosis. A distal femoral replacement was performed because of small size and poor bone quality of the distal fragement. Also since the tibial component was malpositioned (varus fitting) tibial revision was performed simultaneously. (C, D) After a distal femoral replacement postoperative radiographs show good alignment.

Fig. 3 (A) Anteroposterior and lateral radiographs show a type IIB periprosthetic tibial fracture. Severe osteolysis around tibial stem is observed. (B) Revision arthroplasty with a cemented long stem component was performed. (C) After 6 years postoperatively the followup radiographs show healed fracture site.

Fig. 4 (A) Initial radiographs show a type IVB periprosthetic tibial fracture with component loosening. (B) This fracture was treated with revision arthroplasty using constrained prosthesis and cerclage wiring of the tibial tubercle.

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Revision Total Knee Arthroplasty in the Treatment of Periprosthetic Fracture around the Knee

Table 1

Classification for postoperative periprosthetic femoral fractures

^*MIPO: minimally invasive plate osteosynthesis.

Table 2

Classification for postoperative periprosthetic tibial fractures

Table 1 Classification for postoperative periprosthetic femoral fractures

^*MIPO: minimally invasive plate osteosynthesis.

Table 2 Classification for postoperative periprosthetic tibial fractures