Abstract
A classification for periprosthetic tibial fractures is based on the anatomic location of the fracture in reference to the tibial component, whether the fracture occurred during surgery or in the postoperative period, and whether the prosthesis is radiographically well fixed or loose. This classification system and review of experience fostered the development of a treatment algorithm (Fig. 12). In general, postoperative fractures in the setting of a loose prosthesis are best managed by early revision arthroplasty with appropriate fracture fixation. Insertion of a stemmed tibial component and bone grafting of the fracture site are usually sufficient. These same principles may apply to fractures that are discovered intraoperatively. Fractures associated with a well-fixed prosthesis can be treated with closed reduction and casting. Restoration and maintenance of limb alignment is of critical importance. Non-displaced tibial tubercle fractures with intact extensor mechanism function can be treated with extension immobilization; however, internal fixation of displaced tibial tubercle fractures is advised.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 279-286 |
| Number of pages | 8 |
| Journal | Orthopedic Clinics of North America |
| Volume | 30 |
| Issue number | 2 |
| DOIs | |
| State | Published - 1999 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
Cite this
Total knee arthroplasty : Periprosthetic tibial fractures. / Stuart, M. J.; Hanssen, A. D.
In: Orthopedic Clinics of North America, Vol. 30, No. 2, 1999, p. 279-286.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Total knee arthroplasty
T2 - Periprosthetic tibial fractures
AU - Stuart, M. J.
AU - Hanssen, A. D.
PY - 1999
Y1 - 1999
N2 - A classification for periprosthetic tibial fractures is based on the anatomic location of the fracture in reference to the tibial component, whether the fracture occurred during surgery or in the postoperative period, and whether the prosthesis is radiographically well fixed or loose. This classification system and review of experience fostered the development of a treatment algorithm (Fig. 12). In general, postoperative fractures in the setting of a loose prosthesis are best managed by early revision arthroplasty with appropriate fracture fixation. Insertion of a stemmed tibial component and bone grafting of the fracture site are usually sufficient. These same principles may apply to fractures that are discovered intraoperatively. Fractures associated with a well-fixed prosthesis can be treated with closed reduction and casting. Restoration and maintenance of limb alignment is of critical importance. Non-displaced tibial tubercle fractures with intact extensor mechanism function can be treated with extension immobilization; however, internal fixation of displaced tibial tubercle fractures is advised.
AB - A classification for periprosthetic tibial fractures is based on the anatomic location of the fracture in reference to the tibial component, whether the fracture occurred during surgery or in the postoperative period, and whether the prosthesis is radiographically well fixed or loose. This classification system and review of experience fostered the development of a treatment algorithm (Fig. 12). In general, postoperative fractures in the setting of a loose prosthesis are best managed by early revision arthroplasty with appropriate fracture fixation. Insertion of a stemmed tibial component and bone grafting of the fracture site are usually sufficient. These same principles may apply to fractures that are discovered intraoperatively. Fractures associated with a well-fixed prosthesis can be treated with closed reduction and casting. Restoration and maintenance of limb alignment is of critical importance. Non-displaced tibial tubercle fractures with intact extensor mechanism function can be treated with extension immobilization; however, internal fixation of displaced tibial tubercle fractures is advised.
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UR - http://www.scopus.com/inward/citedby.url?scp=0032909598&partnerID=8YFLogxK
U2 - 10.1016/S0030-5898(05)70082-1
DO - 10.1016/S0030-5898(05)70082-1
M3 - Article
VL - 30
SP - 279
EP - 286
JO - Orthopedic Clinics of North America
JF - Orthopedic Clinics of North America
SN - 0030-5898
IS - 2
ER -