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01-08-2020 | Periprosthetic Fracture | Review

Periprosthetic fractures about total knee arthroplasty

Authors: D. J. Lombardo, M. P. Siljander, A. Sobh, D. D. Moore, M. S. Karadsheh

Published in: MUSCULOSKELETAL SURGERY | Issue 2/2020

Abstract

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.

Hoffmann MF, Jones CB, Sietsema DL et al (2012) Outcome of periprosthetic distal femoral fractures following knee arthroplasty. Injury 43:1084–1089. https://doi.org/10.1016/j.injury.2012.01.025 CrossRefPubMed

Meneghini RM, Keyes BJ, Reddy KK, Maar DC (2014) Modern retrograde intramedullary nails versus periarticular locked plates for supracondylar femur fractures after total knee arthroplasty. J Arthroplasty 29:1478–1481. https://doi.org/10.1016/j.arth.2014.01.025 CrossRefPubMed

Gavaskar AS, Tummala NC, Subramanian M (2013) The outcome and complications of the locked plating management for the periprosthetic distal femur fractures after a total knee arthroplasty. Clin Orthop Surg 5:124–128. https://doi.org/10.4055/cios.2013.5.2.124 CrossRefPubMedPubMedCentral

Hou Z, Bowen TR, Irgit K et al (2012) Locked plating of periprosthetic femur fractures above total knee arthroplasty. J Orthop Trauma 26:427–432. https://doi.org/10.1097/BOT.0b013e31822c050b CrossRefPubMed

Horneff JG, Scolaro JA, Jafari SM et al (2013) Intramedullary nailing versus locked plate for treating supracondylar periprosthetic femur fractures. Orthopedics 36:e561–e566. https://doi.org/10.3928/01477447-20130426-16 CrossRefPubMed

Ebraheim NA, Kelley LH, Liu X et al (2015) Periprosthetic distal femur fracture after total knee arthroplasty: a systematic review. Orthop Surg 7:297–305. https://doi.org/10.1111/os.12199 CrossRefPubMedPubMedCentral

Felix NA, Stuart MJ, Hanssen AD (1997) Periprosthetic fractures of the tibia associated with total knee arthroplasty. Clin Orthop Relat Res 345:113–124CrossRef

Rorabeck CH, Taylor JW (1999) Periprosthetic fractures of the femur complicating total knee arthroplasty. Orthop Clin North Am 30:265–277CrossRef

Welch T, Iorio R, Marcantonio AJ et al (2016) Incidence of distal femoral periprosthetic fractures after total knee arthroplasty. Bull Hosp Joint Dis 74:287–292

10.

Berry DJ (1999) Epidemiology: hip and knee. Orthop Clin North Am 30:183–190CrossRef

11.

Lizaur-Utrilla A, Miralles-Muñoz FA, Sanz-Reig J (2013) Functional outcome of total knee arthroplasty after periprosthetic distal femoral fracture. J Arthroplasty 28:1585–1588. https://doi.org/10.1016/j.arth.2013.03.007 CrossRefPubMed

12.

Healy WL, Siliski JM, Incavo SJ (1993) Operative treatment of distal femoral fractures proximal to total knee replacements. J Bone Joint Surg Am 75:27–34CrossRef

13.

Lesh ML, Schneider DJ, Deol G et al (2000) The consequences of anterior femoral notching in total knee arthroplasty. A biomechanical study. J Bone Joint Surg Am 82-A:1096–1101CrossRef

14.

Platzer P, Schuster R, Aldrian S et al (2010) Management and outcome of periprosthetic fractures after total knee arthroplasty. J Trauma 68:1464–1470. https://doi.org/10.1097/TA.0b013e3181d53f81 CrossRefPubMed

15.

Ritter MA, Thong AE, Keating EM et al (2005) The effect of femoral notching during total knee arthroplasty on the prevalence of postoperative femoral fractures and on clinical outcome. J Bone Joint Surg Am 87:2411–2414. https://doi.org/10.2106/JBJS.D.02468 CrossRefPubMed

16.

Neer CS, Grantham SA, Shelton ML (1967) Supracondylar fracture of the adult femur. A study of one hundred and ten cases. J Bone Joint Surg Am 49:591–613CrossRef

17.

Su ET, Kubiak EN, Dewal H et al (2006) A proposed classification of supracondylar femur fractures above total knee arthroplasties. J Arthroplasty 21:405–408. https://doi.org/10.1016/j.arth.2005.05.022 CrossRefPubMed

18.

Rorabeck CH, Taylor JW (1999) Classification of periprosthetic fractures complicating total knee arthroplasty. Orthop Clin North Am 30:209–214CrossRef

19.

Sochart DH, Hardinge K (1997) Nonsurgical management of supracondylar fracture above total knee arthroplasty. Still the nineties option. J Arthroplasty 12:830–834CrossRef

20.

Chen F, Mont MA, Bachner RS (1994) Management of ipsilateral supracondylar femur fractures following total knee arthroplasty. J Arthroplasty 9:521–526CrossRef

21.

Moran MC, Brick GW, Sledge CB et al (1996) Supracondylar femoral fracture following total knee arthroplasty. Clin Orthop Relat Res 324:196–209CrossRef

22.

Herrera DA, Kregor PJ, Cole PA et al (2008) Treatment of acute distal femur fractures above a total knee arthroplasty: systematic review of 415 cases (1981–2006). Acta Orthop 79:22–27. https://doi.org/10.1080/17453670710014716 CrossRefPubMed

23.

Ristevski B, Nauth A, Williams DS et al (2014) Systematic review of the treatment of periprosthetic distal femur fractures. J Orthop Trauma 28:307–312. https://doi.org/10.1097/BOT.0000000000000002 CrossRefPubMed

24.

Streubel PN, Gardner MJ, Morshed S et al (2010) Are extreme distal periprosthetic supracondylar fractures of the femur too distal to fix using a lateral locked plate? J Bone Joint Surg Br 92:527–534. https://doi.org/10.1302/0301-620X.92B3.22996 CrossRefPubMed

25.

Figgie MP, Goldberg VM, Figgie HE, Sobel M (1990) The results of treatment of supracondylar fracture above total knee arthroplasty. J Arthroplasty 5:267–276CrossRef

26.

Ricci WM, Loftus T, Cox C, Borrelli J (2006) Locked plates combined with minimally invasive insertion technique for the treatment of periprosthetic supracondylar femur fractures above a total knee arthroplasty. J Orthop Trauma 20:190–196. https://doi.org/10.1097/00005131-200603000-00005 CrossRefPubMed

27.

Large TM, Kellam JF, Bosse MJ et al (2008) Locked plating of supracondylar periprosthetic femur fractures. J Arthroplasty 23:115–120. https://doi.org/10.1016/j.arth.2008.04.021 CrossRefPubMed

28.

Ebraheim NA, Liu J, Hashmi SZ et al (2012) High complication rate in locking plate fixation of lower periprosthetic distal femur fractures in patients with total knee arthroplasties. J Arthroplasty 27:809–813. https://doi.org/10.1016/j.arth.2011.08.007 CrossRefPubMed

29.

Althausen P, Lee M, Finkemeier C et al (2003) Operative stabilization of supracondylar femur fractures above total knee arthroplasty* 1: a comparison of four treatment methods. J Arthroplasty 18:834–839. https://doi.org/10.1054/S0883-5403(03)00339-5 CrossRefPubMed

30.

McLaren AC, Dupont JA, Schroeber DC (1994) Open reduction internal fixation of supracondylar fractures above total knee arthroplasties using the intramedullary supracondylar rod. Clin Orthop Relat Res 302:194–198

31.

Currall VA, Kulkarni M, Harries WJ (2007) Retrograde nailing for supracondylar fracture around total knee replacement: a compatibility study using the Trigen supracondylar nail. Knee 14:208–211. https://doi.org/10.1016/j.knee.2006.12.001 CrossRefPubMed

32.

Kolb W, Guhlmann H, Windisch C et al (2010) Fixation of periprosthetic femur fractures above total knee arthroplasty with the less invasive stabilization system: a midterm follow-up study. J Trauma 69:670–676. https://doi.org/10.1097/TA.0b013e3181c9ba3b CrossRefPubMed

33.

Bezwada HP, Neubauer P, Baker J et al (2004) Periprosthetic supracondylar femur fractures following total knee arthroplasty. J Arthroplasty 19:453–458. https://doi.org/10.1016/j.arth.2003.12.078 CrossRefPubMed

34.

Lee SS, Lim SJ, Moon YW, Seo JG (2014) Outcomes of long retrograde intramedullary nailing for periprosthetic supracondylar femoral fractures following total knee arthroplasty. Arch Orthop Trauma Surg 134:47–52. https://doi.org/10.1007/s00402-013-1890-7 CrossRefPubMed

35.

Han H-S, Oh K-W, Kang S-B (2005) Retrograde intramedullary nailing for periprosthetic supracondylar fractures of the femur after total knee arthroplasty. Clin Orthop Surg. https://doi.org/10.4055/cios.2009.1.4.201 CrossRef

36.

Gliatis J, Megas P, Panagiotopoulos E, Lambiris E (2005) Midterm results of treatment with a retrograde nail for supracondylar periprosthetic fractures of the femur following total knee arthroplasty. J Orthop Trauma 19:164–170. https://doi.org/10.1097/00005131-200503000-00003 CrossRefPubMed

37.

Saidi K, Ben-Lulu O, Tsuji M et al (2014) Supracondylar periprosthetic fractures of the knee in the elderly patients: a comparison of treatment using allograft-implant composites, standard revision components, distal femoral replacement prosthesis. J Arthroplasty 29:110–114. https://doi.org/10.1016/j.arth.2013.04.012 CrossRefPubMed

38.

Mortazavi SMJ, Kurd MF, Bender B et al (2010) Distal femoral arthroplasty for the treatment of periprosthetic fractures after total knee arthroplasty. J Arthroplasty 25:755–780. https://doi.org/10.1016/j.arth.2009.05.024 CrossRef

39.

Cannon SR (2015) The use of megaprosthesis in the treatment of periprosthetic knee fractures. Int Orthop 39:1945–1950. https://doi.org/10.1007/s00264-015-2969-2 CrossRefPubMed

40.

Windhager R, Schreiner M, Staats K, Apprich S (2016) Megaprostheses in the treatment of periprosthetic fractures of the knee joint: indication, technique, results and review of literature. Int Orthop 40:935–943. https://doi.org/10.1007/s00264-015-2991-4 CrossRefPubMed

41.

Chen AF, Choi LE, Colman MW et al (2013) Primary versus secondary distal femoral arthroplasty for treatment of total knee arthroplasty periprosthetic femur fractures. J Arthroplasty 28:1580–1584. https://doi.org/10.1016/j.arth.2013.02.030 CrossRefPubMed

42.

Parvizi J, Jain N, Schmidt AH (2008) Periprosthetic knee fractures. J Orthop Trauma 22:663–671. https://doi.org/10.1097/BOT.0b013e31816ed989 CrossRefPubMed

43.

Chalidis BE, Tsiridis E, Tragas AA et al (2007) Management of periprosthetic patellar fractures. A systematic review of literature. Injury 38:714–724. https://doi.org/10.1016/j.injury.2007.02.054 CrossRefPubMed

44.

Ortiguera CJ, Berry DJ (2002) Patellar fracture after total knee arthroplasty. J Bone Joint Surg Am 84-A:532–540CrossRef

45.

Windsor RE, Scuderi GR, Insall JN (1989) Patellar fractures in total knee arthroplasty. J Arthroplasty 4(Suppl):S63–S67CrossRef

46.

Boyd AD, Ewald FC, Thomas WH et al (1993) Long-term complications after total knee arthroplasty with or without resurfacing of the patella. J Bone Joint Surg Am 75:674–681CrossRef

47.

Ritter MA, Herbst SA, Keating EM et al (1996) Patellofemoral complications following total knee arthroplasty. Effect of a lateral release and sacrifice of the superior lateral geniculate artery. J Arthroplasty 11:368–372CrossRef

48.

Rosenberg AG, Andriacchi TP, Barden R, Galante JO (1988) Patellar component failure in cementless total knee arthroplasty. Clin Orthop Relat Res 236:106–114

49.

Doolittle KH, Turner RH (1988) Patellofemoral problems following total knee arthroplasty. Orthop Rev 17:696–702PubMed

50.

Aglietti P, Buzzi R, Gaudenzi A (1988) Patellofemoral functional results and complications with the posterior stabilized total condylar knee prosthesis. J Arthroplasty 3:17–25CrossRef

51.

Roffman M, Hirsh DM, Mendes DG (1980) Fracture of the resurfaced patella in total knee replacement. Clin Orthop Relat Res 148:112–116

52.

Larson CM, McDowell CM, Lachiewicz PF (2001) One-peg versus three-peg patella component fixation in total knee arthroplasty. Clin Orthop Relat Res 392:94–100CrossRef

53.

Agarwal S, Sharma RK, Jain JK (2014) Periprosthetic fractures after total knee arthroplasty. J Orthop Surg (Hong Kong) 22:24–29CrossRef

54.

Brown NM, Murray T, Sporer SM et al (2015) Extensor mechanism allograft reconstruction for extensor mechanism failure following total knee arthroplasty. J Bone Joint Surg Am 97:279–283. https://doi.org/10.2106/JBJS.N.00759 CrossRefPubMed

55.

Lim CT, Amanatullah DF, Huddleston JI et al (2017) Reconstruction of disrupted extensor mechanism after total knee arthroplasty. J Arthroplasty 32:3134–3140. https://doi.org/10.1016/j.arth.2017.05.005 CrossRefPubMed

56.

Ricciardi BF, Oi K, Trivellas M et al (2017) Survivorship of extensor mechanism allograft reconstruction after total knee arthroplasty. J Arthroplasty 32:183–188. https://doi.org/10.1016/j.arth.2016.06.031 CrossRefPubMed

57.

Siljander M, Gandhi S, Koueiter DM, Wiater PJ (2017) Osteosynthesis of a periprosthetic patella fracture with a locked mesh plate. Int J Orthop 4:811–813CrossRef

58.

Maniar RN, Nayak RM, Vatchha S, Singhi T (2013) Periprosthetic patellar fracture fixation using suture anchors. Orthopedics 36:e1470–e1473. https://doi.org/10.3928/01477447-20131021-36 CrossRefPubMed

59.

Hozack WJ, Goll SR, Lotke PA et al (1988) The treatment of patellar fractures after total knee arthroplasty. Clin Orthop Relat Res 236:123–127

60.

Keating EM, Haas G, Meding JB (2003) Patella fracture after post total knee replacements. Clin Orthop Relat Res. https://doi.org/10.1097/01.blo.0000092992.90435.20 CrossRefPubMed

61.

Parvizi J, Kim K-I, Oliashirazi A et al (2006) Periprosthetic patellar fractures. Clin Orthop Relat Res 446:161–166. https://doi.org/10.1097/01.blo.0000218722.83601.18 CrossRefPubMed

62.

Chang MA, Rand JA, Trousdale RT (2005) Patellectomy after total knee arthroplasty. Clin Orthop Relat Res 440:175–177CrossRef

63.

Alden KJ, Duncan WH, Trousdale RT et al (2010) Intraoperative fracture during primary total knee arthroplasty. Clin Orthop Relat Res 468:90–95. https://doi.org/10.1007/s11999-009-0876-9 CrossRefPubMed

64.

Ebraheim NA, Ray JR, Wandtke ME et al (2015) Systematic review of periprosthetic tibia fracture after total knee arthroplasties. World J Orthop 6:649–654. https://doi.org/10.5312/wjo.v6.i8.649 CrossRefPubMedPubMedCentral

65.

Cipriano CA, Brown NM, Della Valle CJ et al (2013) Intra-operative periprosthetic fractures associated with press fit stems in revision total knee arthroplasty: incidence, management, and outcomes. J Arthroplasty 28:1310–1313. https://doi.org/10.1016/j.arth.2012.10.003 CrossRefPubMed

66.

Lotke PA, Ecker ML (1977) Influence of positioning of prosthesis in total knee replacement. J Bone Joint Surg Am 59:77–79CrossRef

67.

Kim H-J, Park K-C, Kim J-W et al (2017) Successful outcome with minimally invasive plate osteosynthesis for periprosthetic tibial fracture after total knee arthroplasty. Orthop Traumatol Surg Res 103:263–268. https://doi.org/10.1016/J.OTSR.2016.10.007 CrossRefPubMed

68.

Banim RH, Fletcher M, Warren P (2000) Use of a Dall-Miles plate and cables for the fixation of a periprosthetic tibial fracture. J Arthroplasty 15:131–133CrossRef

69.

Assayag MJ, Bor N, Rubin G, Rozbruch SR (2018) Circular hexapod external fixation for periprosthetic tibial fracture. Arthroplast Today 4:192–199. https://doi.org/10.1016/j.artd.2017.03.001 CrossRefPubMed

70.

Haller JM, Kubiak EN, Spiguel A et al (2014) Intramedullary nailing of tibial shaft fractures distal to total knee arthroplasty. J Orthop Trauma 28:e296–e300. https://doi.org/10.1097/BOT.0000000000000096 CrossRefPubMed

Title: Periprosthetic fractures about total knee arthroplasty
Authors: D. J. Lombardo
M. P. Siljander
A. Sobh
D. D. Moore
M. S. Karadsheh
Publication date: 01-08-2020
Publisher: Springer Milan
Keywords: Periprosthetic Fracture
Patella Fracture
Published in: MUSCULOSKELETAL SURGERY / Issue 2/2020
Print ISSN: 2035-5106
Electronic ISSN: 2035-5114
DOI: https://doi.org/10.1007/s12306-019-00628-9

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Springer Medicine

Periprosthetic fractures about total knee arthroplasty

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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