Management of periprosthetic fracture above total knee arthroplasty using intramedullary fibular allograft and plate fixation.
We report a series of comminuted periprosthetic fractures above total knee arthroplasties in 3 patients who were treated by using an intramedullary fibular strut allograft and a lateral buttress plate. The patients, whose ages ranged from 74 to 90 years, were grossly osteopenic on radiographs. All 3 fractures healed in a satisfactory alignment without any complications. We believe this technique is a feasible treatment option for periprosthetic fractures in this difficult group of patients, having both biologic and mechanical advantages.
Department of Orthopaedics, Toronto East General Hospital, Toronto, Canada.
Arun
A
Kumar
Iain
I
Chambers
Gianni
G
Maistrelli
Paul
P
Wong
D000368:Aged; D000369:Aged, 80 and over; D019645:Arthroplasty, Replacement, Knee; D001860:Bone Plates; D001863:Bone Screws; D016025:Bone Transplantation / Q000379:methods*; D001864:Bone Wires; D005240:Feasibility Studies; D005260:Female; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D017102:Fracture Healing / Q000502:physiology; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D010024:Osteoporosis / Q000000981:diagnostic imaging / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012086:Reoperation