Dual Plate Fixation of Periprosthetic Distal Femur Fractures.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: E. A. Carroll is a paid consultant for DePuy Synthes, recieves royalties from Globus, is a speaker for the AO Foundation, and recieves research support from both Depuy Synthes and the AO Foundation. The remaining authors report no conflict of interest. 19. Injury. 2023 Apr;54(4):1030-1038. doi: 10.1016/j.injury.2023.02.037. Epub 2023 Feb 22. Periprosthetic distal femur fractures around total knee replacements: A comprehensive review. Al-Jabri T(1), Ridha M(2), McCulloch RA(2), Jayadev C(3), Kayani B(4), Giannoudis PV(5). Author information: (1)Trauma and Orthopaedic Surgery, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK; Joint Reconstruction Unit, The Royal National Orthopaedic Hospital, London, Stanmore HA7 4LP, UK; King Edward VII's Hospital, 5-10 Beaumont Street, Marylebone, London W1G 6AA, UK. Electronic address: tjresearcharticles@hotmail.com. (2)Joint Reconstruction Unit, The Royal National Orthopaedic Hospital, London, Stanmore HA7 4LP, UK. (3)Joint Reconstruction Unit, The Royal National Orthopaedic Hospital, London, Stanmore HA7 4LP, UK; King Edward VII's Hospital, 5-10 Beaumont Street, Marylebone, London W1G 6AA, UK. (4)Department of Trauma and Orthopaedic Surgery, University College Hospital, 235 Euston Road, Fitzrovia, London NW1 2BU, UK. (5)Academic Department of Trauma and Orthopaedic Surgery, School of Medicine, University of Leeds, Clarendon Wing, Floor D, Great George Street, Leeds General Infirmary, Leeds LS1 3EX, UK; NIHR Leeds Biomedical Research Centre, Chapel Allerton Hospital, Leeds, UK. 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. Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved. DOI: 10.1016/j.injury.2023.02.037