Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
arthroplasty topic hub

Periprosthetic Fractures after TKA — Classification & Management

Incidence rising with aging population and expanding TKA volumes. Common sites: distal femur (supracondylar), tibia (around keel/stem), patella (resurfaced patella). Classifications: Lewis–Rorabeck & Su (femur), Felix (tibia), Ortiguera–Berry (patella). Stable components → fixation; loose components/poor bone → revision with stems/augments ± megaprosthesis. Avoid iatrogenic risk factors (anterior femoral notching, malalignment, osteolysis).

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Incidence rising with aging population and expanding TKA volumes. Common sites: distal femur (supracondylar), tibia (around keel/stem), patella (resurfaced patella). Classifications: Lewis–Rorabeck & Su (femur), Felix (tibia), Ortiguera–Berry (patella). Stable components → fixation; loose components/poor bone → revision with stems/augments ± megaprosthesis. Avoid iatrogenic risk factors (anterior femoral notching, malalignment, osteolysis).
MCQs

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Question 1

What is the most common site for periprosthetic fractures after total knee arthroplasty (TKA)?

Question 2

According to the Lewis-Rorabeck classification, which type of supracondylar femur fracture is characterized by less than 5 mm displacement and stable implant?

Question 3

In the management of a Type II supracondylar femur fracture (displaced, stable implant), which surgical option is preferred?

Question 4

What is the primary risk factor for periprosthetic fractures in elderly patients undergoing TKA?

Question 5

What type of fracture does Felix Type I refer to in tibial periprosthetic fractures?

Question 6

Which management option is appropriate for a stable tibial plateau fracture (Felix Type IA)?

Question 7

What is the definition of anterior femoral notching in the context of TKA?

Question 8

In cases of periprosthetic fractures with loose or malpositioned implants, what is the recommended management?

Question 9

What is the general incidence range of periprosthetic fractures following TKA?

Question 10

Which of the following is a common mechanism of injury leading to periprosthetic fractures in elderly patients?