Minimally Invasive Plate Osteosynthesis for Periprosthetic Distal Femoral Fractures after Total Knee Arthroplasty

Chul-Wung Ha; Oog Jin Shon; Seung Wan Lim; Kang Hyun Park
March 2014
Knee Surgery & Related Research;Mar2014, Vol. 26 Issue 1, p27
Academic Journal
Purpose: To evaluate the outcomes of the treatment of distal femoral fractures using minimally invasive plate osteosynthesis following total knee arthroplasty (TKA). Materials and Methods: From July 2008 to October 2011, 14 patients were treated with minimally invasive plate osteosynthesis for periprosthetic fractures following TKA. The mean duration of follow-up was 19.2 months and the mean age was 69.7 years. Lewis and Rorabeck classification was used to categorize the type of fracture. Pre- and postoperative range of motion, femorotibial angle, and Knee society score, time to bony union, and complications were evaluated. Results: The mean range of motion was 108.4 degrees preoperatively and 107.3 degrees postoperatively. No significant difference was observed in the pre- and postoperative mean range of motion. The average time to bony union was 3.9 months. The knee society score was 82.6 points preoperatively and 78.9 points postoperatively. The mean femorotibial angle was changed from 6.1 degrees valgus postoperatively to 4.6 degrees valgus postoperatively. There was no complication during the follow-up. Conclusions: Minimally invasive plate fixation for distal femur fractures after TKA showed good results. Minimally invasive plate osteosynthesis is a recommendable treatment method for periprosthetic fractures.


Related Articles

  • Are Cementless Stems More Durable Than Cemented Stems in Two-stage Revisions of Infected Total Knee Arthroplasties? Edwards, Paul; Fehring, Thomas; Hamilton, William; Perricelli, Brett; Beaver, Walter; Odum, Susan // Clinical Orthopaedics & Related Research;Jan2014, Vol. 472 Issue 1, p206 

    Background: The routine use of stems in revision TKA improves survival rates by enhancing the stability of the prosthesis. The ideal method of stem fixation (cemented or uncemented) in two-stage reimplantation remains controversial. Questions/purposes: The purpose of this study was to answer the...

  • Total knee arthroplasty performed with either a mini-subvastus or a standard approach: a prospective randomized controlled study with a minimum follow-up of 2 years. Lai, Zhen; Shi, ShiYuan; Fei, Jun; Wei, Wei // Archives of Orthopaedic & Trauma Surgery;Aug2014, Vol. 134 Issue 8, p1155 

    Background: There is currently a trend toward minimally invasive total knee arthroplasty (TKA) to decrease the morbidity related to the standard approach. The aim of our study was to clarify whether the mini-subvastus surgical had an advantage over the standard in term of pain level, blood loss,...

  • Lospa와 Scorpio NRG 고굴곡형 인공 슬관절 전치환술의 2ë…„ 추시 결과의 비교. 전재균; 송인수; 선두훈; 장성원; 이종근 // Journal of the Korean Orthopaedic Association;2013, Vol. 48 Issue 6, p449 

    Purpose: The purpose of this study is to evaluate the clinical and radiologic results after high flexion Lospa (Corentec Inc.) and Scorpio NRG (Stryker Inc.) total knee arthroplasty. Materials and Methods: We prospectively compared 205 knees in 128 patients who underwent arthroplasty using Lospa...

  • Single-radius, multidirectional total knee replacement. Jenny, Jean-Yves; Miehlke, Rolf; Saragaglia, Dominique; Geyer, Robert; Mercier, Numa; Schoenahl, Jean-Yves; Thiel, Birger // Knee Surgery, Sports Traumatology, Arthroscopy;Dec2013, Vol. 21 Issue 12, p2764 

    Purpose: The present study was designed to evaluate the mid-term (5- to 8-year) survival rate of a new total knee replacement (TKR) with a single-radius femoral component and a multidirectional, highly congruent tibial component, in comparison with an historical group (TKR with multi-radius...

  • The effects of femoral component design on the patello-femoral joint in a PS total knee arthroplasty. Indelli, Pier; Marcucci, Massimiliano; Pipino, Gennaro; Charlton, Sophie; Carulli, Christian; Innocenti, Massimo // Archives of Orthopaedic & Trauma Surgery;Jan2014, Vol. 134 Issue 1, p59 

    Introduction: Anterior knee pain following TKA performed utilizing the PFC Sigma system still represents a cause of failure. The purpose of this study was to evaluate whether or not a recent change in the femoral design (PFC Sigma PS) had a positive impact on the patello-femoral complication...

  • Porous TantalumMetaphyseal Cones for Severe Tibial Bone Loss in Revision Knee Arthroplasty A Five to Nine-Year Follow-up. Kamath, Atul F.; Lewallen, David G.; Hanssen, Arlen D. // Journal of Bone & Joint Surgery, American Volume;2/4/2015, Vol. 97 Issue 3, p216 

    Background: Severe metaphyseal and meta-diaphyseal bone loss poses important challenges in revision total knee arthroplasty. The best strategy for addressing massive tibial bone loss has not been determined. The purpose of this study was to assess the intermediate-term clinical and radiographic...

  • Treatment of periprosthetic femoral fractures of the knee. Ehlinger, Matthieu; Adam, Philippe; Abane, Lamine; Rahme, Michel; Moor, Beat; Arlettaz, Yvan; Bonnomet, François // Knee Surgery, Sports Traumatology, Arthroscopy;Sep2011, Vol. 19 Issue 9, p1473 

    Purpose: We report a continuous series of periprosthetic femoral fractures after knee arthroplasty treated with a locking plate. We hypothesize that minimally invasive surgery and immediate weight-bearing improve functional recovery. Methods: From June 2002 to December 2008, 15 patients with 16...

  • Anterior decompression with single segmental spinal interbody fusion for Denis type B thoracolumbar burst fracture: a midterm follow-up study. Tang, Jiaguang; Liu, Yishan; Hu, Yuan; Cao, Zheng; Lu, Xiang; Lin, Bin // International Orthopaedics;Nov2013, Vol. 37 Issue 11, p2205 

    Purpose: Our goal was to observe the midterm results of a case series of Denis type B thoracolumbar burst fracture treated with anterior decompression with single segmental spinal Interbody fusion. Methods: Twenty patients with Denis type B thoracolumbar burst fractures underwent anterior...

  • Extrusion of the Hamate. Plucknette, Benjamin F.; Doan, Joshua D.; Edmonds, Eric W. // Case Connector;Jul-Sep2015, Vol. 5 Issue 3, p1 

    Case: A thirteen-year-old right-hand-dominant girl sustained a right hamate fracture-extrusion with associated pisiform dislocation and volar degloving injury with open fractures of the scaphoid, capitate, lunate, and trapezoid following an all-terrain-vehicle rollover. She was noted to have...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics