Periprosthetic distal femur fractures around total knee replacements: A comprehensive review

With a growing number of patients undergoing total knee replacements globally, coupled with an elderly population, the incidence of periprosthetic fractures around total knee replacements is increasing. As such, this is a highly topical subject that is gaining increasing interest within the orthopae...

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Bibliographic Details
Published inInjury Vol. 54; no. 4; pp. 1030 - 1038
Main Authors Al-Jabri, Talal, Ridha, Mohamed, McCulloch, Robert Allan, Jayadev, Chethan, Kayani, Babar, Giannoudis, Peter V.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Ltd 01.04.2023
Subjects
Aged
Arthroplasty, Replacement, Knee - adverse effects
Endoprosthetic reconstruction
Femoral Fractures - etiology
Femoral Fractures, Distal
Femur - surgery
Fracture Fixation, Internal - adverse effects
Humans
Hybrid fixation
Orthopedics
Periprosthetic fracture
Periprosthetic Fractures - etiology
Total knee replacement
MM
USA
IM
Total knee replacement
Periprosthetic fracture
ORIF
PPF
Endoprosthetic reconstruction
cm
AO
PJI
CT
DFR
MSIS
Hybrid fixation
UK
NJR
NICE
OTA
TKRs
Arbeitsgemeinschaft für Osteosynthesefragen
United States of America
Millimetres
Intramedullary
Distal femoral replacement
Periprosthetic joint infection
National Joint Registry
Computed Tomography
Open reduction internal fixation
Centimetres
National Institute for Health and Clinical Excellence
United Kingdom
Orthopaedic Trauma Association
Musculoskeletal Infection Society
Total knee replacements
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Summary:With a growing number of patients undergoing total knee replacements globally, coupled with an elderly population, the incidence of periprosthetic fractures around total knee replacements is increasing. As such, this is a highly topical subject that is gaining increasing interest within the orthopaedic community. This review provides a narrative synthesis of the most contemporary literature regarding distal femoral periprosthetic fractures. We review the related epidemiology, initial patient evaluation, the evolution and relevance of the classification systems and treatment options, particularly related to endoprosthetics and hybrid fixation constructs. The latest orthopaedic evidence related to this topic has been included.
Bibliography:ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Instructional Material/Guideline-3
ObjectType-Feature-4
content type line 23
ObjectType-Review-1
ISSN:0020-1383
1879-0267
1879-0267
DOI:10.1016/j.injury.2023.02.037