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The Outcome and Complications of the Locked Plating Management for the Periprosthetic Distal Femur Fractures after a Total Knee Arthroplasty
Clinics in Orthopedic Surgery ; : 124-128, 2013.
Artículo en Inglés | WPRIM | ID: wpr-186818
ABSTRACT

BACKGROUND:

The osteosynthesis of the periprosthetic fractures following a total knee arthroplasty (TKA) can be technically difficult with the relatively small satisfactory outcomes and the high complication rates. The purpose of the study is to analyze the mid-term radiological and functional outcomes following the locked plating of the distal femur periprosthetic fractures after a TKA.

METHODS:

Records of 20 patients with a periprosthetic distal femur fracture following TKA treated by the locked plate osteosynthesis were retrospectively evaluated. The union rate, complications and functional outcome measures were analyzed.

RESULTS:

Successful union was achieved in 18 of the 19 patients available for the follow-up. The mean follow-up was 39 +/- 10 months. Significant reductions (p < 0.05) in the range of motion and Western Ontario and McMaster Universities Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores were evident in the follow-up. Secondary procedures were required in 5 patients to address the delay in union and the reduced knee range of motion. The osteosynthesis failed in 1 patient who underwent a revision TKA.

CONCLUSIONS:

The satisfactory union rates can be achieved with the locked plate osteosynthesis in the periprosthetic distal femur fractures after TKA. Prolonged rehabilitation coupled with the un-modifiable risk factors can decrease the activity and satisfaction levels, which can significantly alter the functional outcome.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Osteoporosis / Complicaciones Posoperatorias / Estudios Retrospectivos / Factores de Riesgo / Rango del Movimiento Articular / Resultado del Tratamiento / Artroplastia de Reemplazo de Rodilla / Fracturas Periprotésicas / Fracturas del Fémur / Fijación Interna de Fracturas Tipo de estudio: Estudio de etiología / Estudio observacional / Factores de riesgo Límite: Anciano / Aged80 / Femenino / Humanos / Masculino Idioma: Inglés Revista: Clinics in Orthopedic Surgery Año: 2013 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Osteoporosis / Complicaciones Posoperatorias / Estudios Retrospectivos / Factores de Riesgo / Rango del Movimiento Articular / Resultado del Tratamiento / Artroplastia de Reemplazo de Rodilla / Fracturas Periprotésicas / Fracturas del Fémur / Fijación Interna de Fracturas Tipo de estudio: Estudio de etiología / Estudio observacional / Factores de riesgo Límite: Anciano / Aged80 / Femenino / Humanos / Masculino Idioma: Inglés Revista: Clinics in Orthopedic Surgery Año: 2013 Tipo del documento: Artículo