title: [Osteosynthesis after periprosthetic fractures of the knee joint].
abstract: Periprosthetic fractures around the knee joint are of increasing relevance due to increasing numbers of total knee replacements and increasing life expectations. These fractures can be a real challenge due to an often limited patient compliance, reduced bone quality and impaired bone perfusion of potential intramedullary shafts resulting in poor healing and lack of fixation options for screws. These fractures necessitate special knowledge and approaches, which are systematically dealt with in this article, beginning with the correct diagnostics through to the most recent developments in the field of osteosynthetic techniques. The trends of minimally invasive techniques are presented and the options and limitations are described.
authors.affiliation: Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Strasse 22, 81675, München, Deutschland. vonmatthey@uchir.me.tum.de.
authors.forename: F
authors.initials: F
authors.lastname: von Matthey
authors.affiliation: Abteilung für Unfall-, Hand- und Wiederherstellungschirurgie, Universität Marburg, Marburg, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Ruchholtz
authors.affiliation: Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Strasse 22, 81675, München, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Biberthaler
authors.affiliation: Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Strasse 22, 81675, München, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Hanschen
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation / Q000379:methods*; D019317:Evidence-Based Medicine; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D007718:Knee Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D057068:Periprosthetic Fractures / Q000175:diagnosis* / Q000601:surgery*; D011300:Preoperative Care / Q000379:methods; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D016896:Treatment Outcome
keywords: Knee; Osteosynthesis; Periprosthetic fractures; Polyaxial locking plates; Surgical technique