TOTBİD Dergisi

TOTBİD Dergisi

2019, Cilt 18, Sayı, 2     (Sayfalar: 170-178)

Periprosthetic fractures associated with total knee arthroplasty

Nadir Özkayın 1, Can Yener 1

1 Ege Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Bölümü, İzmir, Türkiye

DOI: 10.14292/totbid.dergisi.2019.20
Görüntüleme: 578
İndirme : 542

The incidence of periprosthetic fractures around the knee which occurs during or after total knee arthroplasty is increasing. This may be explained by the increase in the elderly population and the frequency of total knee arthroplasty related to that. Although there are many risk factors that may play a role in the emergence of these fractures, the main risk factor is advanced age, especially because of the risk of falling to the ground and its relation to osteoporosis. Classifications related to periprosthetic fractures around the knee focus on features such as displacement of the fracture, component loosening, fracture site, remaining distal bone amount, bone quality and reduction. While conservative treatment is indicated in nondisplaced fractures, surgery is recommended in patients with displaced fractures or prosthetic loosening. Treatment results are closely related to providing alignment and stability. Functional restoration and painless joint, which are the main targets of treatment, can be provided in most patients with periprosthetic fractures after total knee arthroplasty. In this review, the general characteristics, the current classification systems, and the proposed surgical methods for certain types of these fractures and achieved results of the treatments which may be complicated and difficult to understand, are mentioned according to the current literature.

Anahtar Kelimeler : total knee arthroplasty; periprosthetic; fracture