Periprosthetic acetabular fractures.

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Abstract

[Indexed for MEDLINE] 7. J Am Acad Orthop Surg. 2018 Apr 15;26(8):e167-e172. doi: 10.5435/JAAOS-D-16-00387. Periprosthetic Tibial Fractures. Born CT(1), Gil JA, Johnson JP. Author information: (1)From the Department of Orthopaedic Surgery, the Warren Alpert Medical School of Brown University, Providence, RI. Periprosthetic fractures around total knee arthroplasty have become an increasingly common and challenging orthopaedic problem. Appropriate management of these fractures depends on careful scrutiny of radiographs and a thorough clinical history to exclude the diagnosis of a periprosthetic infection. In a periprosthetic tibial fracture with a stable, well-aligned tibial component and well-aligned mechanical tibial axis, the fracture can be successfully managed with closed reduction and cast immobilization; meticulous follow-up is essential to ensure that the alignment is maintained. Major fracture displacement, tibial component instability, and tibial component malalignment are all indications for surgical intervention. The ideal surgical intervention depends on the fracture characteristics and the stability and alignment of the tibial component. DOI: 10.5435/JAAOS-D-16-00387