Long-Term Function following Periprosthetic Fractures.

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Abstract

[Indexed for MEDLINE] 7. Geriatr Orthop Surg Rehabil. 2021 Aug 27;12:21514593211023996. doi: 10.1177/21514593211023996. eCollection 2021. Current Reconstruction Options in Periprosthetic Fractures Around the Knee. Cacciola G(1), Mancino F(2), De Meo F(1), Bruschetta A(1), De Martino I(2), Cavaliere P(1). Author information: (1)Orthopaedic Institute of Southern Italy "Franco Scalabrino," Messina, Italy. (2)Division of Orthopaedics and Traumatology, Department of Aging, Neurological, Orthopaedic and Head-Neck Studies, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy. BACKGROUND: Periprosthetic fractures are a rare complication after total knee arthroplasty (TKA). However, the incidence of these fractures is growing after the increasing number of TKAs performed every year and the progressive aging of the population. In addition, the surgical treatment and peri-operative management of these complications are demanding, representing a challenge for the orthopedic surgeon. SIGNIFICANCE: A thorough understanding of these fractures and a correct classification are necessary in order to select the most suitable surgical treatment. The aim of this review was to analyze the epidemiology, classification, diagnosis, surgical treatment, and outcomes of periprosthetic knee fractures in order to give an exhaustive overview. RESULTS: Reduction and internal fixation with locking plates or intramedullary nails represents the preferred option in case of a stable prosthetic implant. Conversely, in case of loose tibial and/or femoral component, implant revision is mandatory. Conservative treatment is rarely indicated. CONCLUSION: A deep understanding of the characteristics and patterns of periprosthetic knee fractures, and the determination of the stability of the prosthetic implant are necessary in order to establish the correct treatment. © The Author(s) 2021. DOI: 10.1177/21514593211023996 PMCID: PMC8404675