Minimally Invasive Plate Osteosynthesis for Periprosthetic Distal Femoral Fractures after Total Knee Arthroplasty
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Purpose: To evaluate the outcomes of the treatment of distal femoral fractures using minimally invasive plate osteosynthesis following total knee arthroplasty (TKA).Materials and Methods: From July 2008 to October 2011, 14 patients were treated with minimally invasive plate osteosynthesis for periprosthetic fractures following TKA. The mean duration of follow-up was 19.2 months and the mean age was 69.7 years. Lewis and Rorabeck classification was used to categorize the type of fracture. Pre- and postoperative range of motion, femorotibial angle, and Knee society score, time to bony union, and complications were evaluated.Results: The mean range of motion was 108.4 degrees preoperatively and 107.3 degrees postoperatively. No significant difference was observed in the pre- and postoperative mean range of motion. The average time to bony union was 3.9 months. The knee society score was 82.6 points preoperatively and 78.9 points postoperatively. The mean femorotibial angle was changed from 6.1 degrees valgus postoperatively to 4.6 degrees valgus postoperatively. There was no complication during the follow-up. Conclusions: Minimally invasive plate fixation for distal femur fractures after TKA showed good results. Minimally invasive plate osteosynthesis is a recommendable treatment method for periprosthetic fractures.
Abstract
Purpose: To evaluate the outcomes of the treatment of distal femoral fractures using minimally invasive plate osteosynthesis following total knee arthroplasty (TKA).Materials and Methods: From July 2008 to October 2011, 14 patients were treated with minimally invasive plate osteosynthesis for periprosthetic fractures following TKA. The mean duration of follow-up was 19.2 months and the mean age was 69.7 years. Lewis and Rorabeck classification was used to categorize the type of fracture. Pre- and postoperative range of motion, femorotibial angle, and Knee society score, time to bony union, and complications were evaluated.Results: The mean range of motion was 108.4 degrees preoperatively and 107.3 degrees postoperatively. No significant difference was observed in the pre- and postoperative mean range of motion. The average time to bony union was 3.9 months. The knee society score was 82.6 points preoperatively and 78.9 points postoperatively. The mean femorotibial angle was changed from 6.1 degrees valgus postoperatively to 4.6 degrees valgus postoperatively. There was no complication during the follow-up. Conclusions: Minimally invasive plate fixation for distal femur fractures after TKA showed good results. Minimally invasive plate osteosynthesis is a recommendable treatment method for periprosthetic fractures.
참고문헌 (25)
- Aaron RK, "Supracondylar fracture of the femur after total knee arthroplasty", Clin Orthop Relat Res, 219, pp.136~139 (1987)
- Wick M, "Supracondylar femoral fractures in knee endoprostheses : stabilizing with retrograde interlocking nail", Unfallchirurg, 104, pp.410~413 (2001)
- Lachiewicz PF, "Periprosthetic fracture between a constrained total knee arthroplasty and a long-stem total hip arthroplasty : treatment with a novel device", J Arthroplasty, 22, pp.449~452 (2007)
- Merkel KD, "Supracondylar fracture of the femur after total knee arthroplasty", J Bone Joint Surg Am, 68, pp.29~43 (1986)
- Oni OO, "Supracondylar fracture of the femur following Attenborough stabilized gliding knee arthroplasty", Injury, 14, pp.250~251 (1982)
- Shepperd JA, "Supracondylar fracture of the femur following Attenborough stabilized knee arthroplasty treated by a long-stem prosthesis plus internal fixation", Injury, 16, pp.65~66 (1984)
- Chen F, "Management of ipsilateral supracondylar femur fractures following total knee arthroplasty", J Arthroplasty, 9, pp.521~526 (1994)
- Figgie MP, "The results of treatment of supracondylar fracture above total knee arthroplasty", J Arthroplasty, 5, pp.267~276 (1990)
- Nayak RM, "Minimally invasive plate osteosynthesis using a locking compression plate for distal femoral fractures", J Orthop Surg(Hong Kong), 19, pp.185~190 (2011)
- Rorabeck CH, "Fractures of the femur, tibia, and patella after total knee arthroplasty : decision making and principles of management", Instr Course Lect, 47, pp.449~458 (1998)
- Bogoch E, "Supracondylar fractures of the femur adjacent to resurfacing and MacIntosh arthroplasties of the knee in patients with rheumatoid arthritis", Clin Orthop Relat Res, 229, pp.213~220 (1988)
- Culp RW, "Heppenstall RB. Supracondylar fracture of the femur following prosthetic knee arthroplasty", Clin Orthop Relat Res, 222, pp.212~222 (1987)
- Sisto DJ, "Treatment of supracondylar fractures following prosthetic arthroplasty of the knee", Clin Orthop Relat Res, 196, pp.265~272 (1985)
- Engh GA, "Periprosthetic fractures adjacent to total knee implants : treatment and clinical results", Instr Course Lect, 47, pp.437~448 (1998)
- Felix NA, "Periprosthetic fractures of the tibia associated with total knee arthroplasty", Clin Orthop Relat Res, 345, pp.113~124 (1997)
- Healy WL, "Operative treatment of distal femoral fractures proximal to total knee replacements", J Bone Joint Surg Am, 75, pp.27~34 (1993)
- Keenan J, "Treatment of supracondylar femoral fracture above total knee replacement by custom made hinged prosthesis", Knee, 7, pp.165~170 (2000)
- Kim KI, "Periprosthetic fractures after total knee arthroplasties", Clin Orthop Relat Res, 446, pp.167~175 (2006)
- Harlow ML, "Periprosthetic fractures", pp.1405~1417 (1994), Mosby-Year Book
- Cordeiro EN, "Periprosthetic fractures in patients with total knee arthroplasties", Clin Orthop Relat Res, 252, pp.182~189 (1990)
- McLaren AC, "Open reduction internal fixation of supracondylar fractures above total knee arthroplasties using the intramedullary supracondylar rod", Clin Orthop Relat Res, 302, pp.194~198 (1994)
- Rolston LR, "Treatment of supracondylar fractures of the femur proximal to a total knee arthroplasty: a report of four cases", J Bone Joint Surg Am, 77, pp.924~931 (1995)
- Phillips JE, "Undisplaced fracture of the neck of the femur : results of treatment of 100 patients treated by single Watson-Jones nail fixation", Injury, 19, pp.93~96 (1988)
- Kregor PJ, "Fixation of distal femoral fractures above total knee arthroplasty utilizing the Less Invasive Stabilization System (L.I.S.S.)", Injury, 32(v), pp.SC64~SC75 (2001)
- Kolb W, "Fixation of periprosthetic femur fractures above total knee arthroplasty with the less invasive stabilization system : a midterm follow-up study", J Trauma, 69, pp.670~676 (2010)