title: Management of periprosthetic fractures in patients treated with a megaprosthesis for malignant bone tumours around the knee.
abstract: Early and late infection as well as loosening and mechanical failure are among the postoperative complications most often reported following reconstruction with a tumour prosthesis in patients with a sarcoma around the knee. Scarce instances of periprosthetic fractures have been reported. The literature includes the description of two patients with such a complication, however no treatment recommendation was detailed in those articles. We recorded in our experience two patients with a traumatic fracture following a massive prosthetic bone and joint replacement after major resection for a bone sarcoma. The surgical treatment was open reduction and internal fixation using a cable and plate system, allowing preservation of the prosthesis and providing stable fracture fixation and excellent fracture healing.
authors.affiliation: Department of Orthopaedic Surgery, ULB, Institut Jules Bordet, Brussels, Belgium.
authors.forename: Michael
authors.initials: M
authors.lastname: Gebhart
authors.forename: Félix
authors.initials: F
authors.lastname: Shumelinsky
mesh_terms: D000293:Adolescent; D001859:Bone Neoplasms / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D012516:Osteosarcoma / Q000150:complications / Q000601:surgery*; D010329:Patella / Q000293:injuries*; D057068:Periprosthetic Fractures / Q000150:complications / Q000601:surgery*