Individualized surgery in primary total knee arthroplasty.

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Abstract

Conflict of interest statement: ICMJE Conflict of interest statement: TK reports consultancy for Microport Orthopaedics; expert testimony for Microport Orthopaedics and Smith & Nephew; grants/grants pending from Microport Orthopaedics, Smith & Nephew and Amgen; payment for lectures/services on speakers’ bureaus from Microport Orthopaedics; and travel/accommodation/meeting expenses from Microport Orthopaedics and Amgen, all outside the submitted work. GAK declares no conflict of interest relevant to this work. 9. Cureus. 2024 Jan 31;16(1):e53281. doi: 10.7759/cureus.53281. eCollection 2024 Jan. Patella Fracture After Total Knee Arthroplasty: A Review. Tsivelekas K(1), Pallis D(1), Lykos S(1), Triantafyllou E(1), Nikolakakos P(1), Tilentzoglou A(1), Papadakis SA(1). Author information: (1)Second Department of Orthopaedics, KAT General Hospital of Attica, Athens, GRC. The management and underlying causes of patellar periprosthetic fractures (PPF) after total knee arthroplasty (TKA) constitute an issue of growing importance given the rising frequency of these procedures. Patella periprosthetic fractures, though relatively rare, pose significant challenges and are a frequent indication for revision surgeries. Despite a decrease in overall incidence, PPFs remain the second most common type of periprosthetic fractures after TKA. Several factors have been identified and associated with patient-specific factors, surgical technique errors, and implant-related causes. Currently extensor apparatus integrity, bone stock, and component loosening are the major concerns and indications for the selective treatment approach. In this study, a thorough review of the existing literature was performed summarizing the epidemiology, clinical manifestation, treatment approach, and functional outcome of PPF. This review aims to underline the significance of such predisposing factors, point out the severity of PPF, and offer insights into the optimal intra- and post-operative management of the patella. Copyright © 2024, Tsivelekas et al. DOI: 10.7759/cureus.53281 PMCID: PMC10905318