Literature DB >> 25666317

A Unique Pattern of Peri-Prosthetic Fracture Following Total Knee Arthroplasty: The Insufficiency Fracture.

Alisina Shahi1, Usama Hassan Saleh1, Timothy L Tan2, Mohamed Elfekky1, Samih Tarabichi1.   

Abstract

An isolated periprosthetic compression fracture following total knee arthroplasty has not been described in periprosthetic fracture classifications. Thus, the purpose is to describe this unique type of fracture based on clinical and radiographic analysis and identify the incidence and potential risk factors of this fracture. A retrospective chart review was performed from a database of 5864 primary total knee. A total of 56 (0.9%) periprosthetic fractures were identified with 15 (26.8%) of them demonstrating an isolated lateral compression fracture. Patients exhibiting this fracture pattern had a mean preoperative varus deformity of 176.3° and had poor bone quality (T score: -2.1). It is important to recognize that a compression fracture is not an infrequent finding and that further workup maybe warranted when clinical suspicion is high.
Copyright © 2015 Elsevier Inc. All rights reserved.

Entities:  

Keywords:  arthroplasty; insufficiency fracture; joint replacement; knee; periprosthetic fractures

Mesh:

Year:  2015        PMID: 25666317     DOI: 10.1016/j.arth.2015.01.006

Source DB:  PubMed          Journal:  J Arthroplasty        ISSN: 0883-5403            Impact factor:   4.757


  4 in total

1.  Sister, Sister! Siblings With Simultaneous Early Femoral Insufficiency Fractures After Total Knee Arthroplasty.

Authors:  Alberto V Carli; Ioannis Gkiatas; Thomas W Bauer; Timothy M Wright; Fernando Quevedo Gonzalez; Peter K Sculco
Journal:  Arthroplast Today       Date:  2021-02-01

2.  Femoral Condyle Insufficiency Fracture After Total Knee Arthroplasty Using a Stemless Femoral Component With a Midlevel Constraint Articular Surface.

Authors:  Ari Seidenstein; Ali M Omari; Harlan B Levine; Gregg R Klein
Journal:  Arthroplast Today       Date:  2022-01-17

3.  Nonsurgical management of atraumatic early distal femoral periprosthetic insufficiency fracture after primary total knee arthroplasty, a report of two cases.

Authors:  Ahmed M Abdelaal; Ahmed A Khalifa
Journal:  Trauma Case Rep       Date:  2022-10-04

4.  Early femoral condyle insufficiency fractures after total knee arthroplasty: treatment with delayed surgery and femoral component revision.

Authors:  George L Vestermark; Susan M Odum; Bryan D Springer
Journal:  Arthroplast Today       Date:  2018-03-30
  4 in total

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