title: The treatment of periprosthetic femur fractures after total knee arthroplasty.
abstract: Periprosthetic femur fractures after total knee arthroplasty are a rising concern; however, when properly diagnosed, they can be managed nonoperatively or operatively in the form of locking plate fixation, intramedullary nailing, and arthroplasty. The degree of osteoporosis, stability of the femoral implant, and goals of the patient are a few critical variables in determining the ideal treatment. Despite excellent outcomes from each of these operative choices, the risk of nonunion, malunion, instability, and refracture cannot be ignored.
authors.affiliation: Department of Orthopaedic Surgery, St. Luke's University Health Network, 801 Ostrum Street, PPHP2, Bethlehem, PA 18015, USA. Electronic address: KancheV@slhn.org.
authors.forename: Vamsi K
authors.initials: VK
authors.lastname: Kancherla
authors.affiliation: Department of Orthopaedic Surgery, St. Luke's University Health Network, 801 Ostrum Street, PPHP2, Bethlehem, PA 18015, USA.
authors.forename: Chinenye O
authors.initials: CO
authors.lastname: Nwachuku
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000009:adverse effects*; D001860:Bone Plates; D005264:Femoral Fractures / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D005593:Fracture Fixation, Internal; D005594:Fracture Fixation, Intramedullary; D017102:Fracture Healing; D006801:Humans; D010024:Osteoporosis / Q000150:complications; D057068:Periprosthetic Fractures / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D012008:Recurrence; D016896:Treatment Outcome
keywords: Femur fracture; Knee arthroplasty; Periprosthetic