Periprosthetic Distal Femur Fracture.

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Abstract

Conflict of interest statement: Disclosure: Dominic Marino declares no relevant financial relationships with ineligible companies. Disclosure: Daniel Mesko declares no relevant financial relationships with ineligible companies. 12. Musculoskelet Surg. 2020 Aug;104(2):135-143. doi: 10.1007/s12306-019-00628-9. Epub 2019 Oct 23. Periprosthetic fractures about total knee arthroplasty. Lombardo DJ(1), Siljander MP(2), Sobh A(2), Moore DD(2), Karadsheh MS(2). Author information: (1)Department of Orthopaedic Surgery, Beaumont Health, 3535 W 13. Mile Road, Suite 744, Royal Oak, MI, 48073, USA. dj.lombardo1987@gmail.com. (2)Department of Orthopaedic Surgery, Beaumont Health, 3535 W 13. Mile Road, Suite 744, Royal Oak, MI, 48073, USA. Periprosthetic fracture after total knee arthroplasty presents a difficult complication for many orthopaedic surgeons. These fractures occur most frequently around the distal femur followed by the patella and then tibia. These fractures are frequently complicated by poor bone quality or compromised bone due to the presence of the implants. Surgical treatment is typically necessary and requires varied techniques of open fixation, intramedullary fixation, or revision arthroplasty. Outcomes of these injuries vary widely. This review aims to describe the epidemiology, classification, treatment options and outcomes for periprosthetic fractures following total knee arthroplasty. DOI: 10.1007/s12306-019-00628-9