TOTBİD Dergisi

TOTBİD Dergisi

2015, Cilt 14, Sayı, 2     (Sayfalar: 132-139)

Periprosthetic fractures around the knee following total knee replacement

Mehmet Atıf Erol Aksekili 1, Mahmut Uğurlu 1

1 Yıldırım Beyazıt Üniversitesi Tıp Fakültesi, Ortopedi Anabilim Dalı, Ankara

DOI: 10.14292/totbid.dergisi.2015.19
Görüntüleme: 442
İndirme : 383

Even though the likelihood of periprosthetic fracture around a total knee arthroplasty is low, we are experiencing periprosthetic fractures more often due to increasing number of these operations each year, due to increasing postoperative activity level and life expectancy. These fractures include femoral, tibial and patellar zone. Supracondylar femoral fractures are seen more often compared to the latter. To treat this type of complex fractures, surgeons need to be experienced on both traumatic reconstuction techniques and arthroplasty. The aim of treatment is union of fracture before 6 months, maintenance of pre-fracture knee movements, and to obtaining a pain-free knee joint. The alternatives are: conservative treatment, plating, intramedullary nailing, and revision of arthroplasty. On the other hand, no single current algorithm is present for treatment approach due to lack of precise data in literature. With the improvement of locked plates, surgical treatment has started to be performed on most of the patients. In this study, we reviewed the causes, risk factors, incidence, classification, and current treatment options of periprosthetic fractures around total knee arthroplasty.

Anahtar Kelimeler : knee arthroplasty, total; periprosthetic fractures; locked plate; intramedullary nailing; surgical revision