Management of periprosthetic fracture above total knee arthroplasty using intramedullary fibular allograft and plate fixation

J Arthroplasty. 2008 Jun;23(4):554-8. doi: 10.1016/j.arth.2007.05.054. Epub 2008 Jan 22.

Abstract

We report a series of comminuted periprosthetic fractures above total knee arthroplasties in 3 patients who were treated by using an intramedullary fibular strut allograft and a lateral buttress plate. The patients, whose ages ranged from 74 to 90 years, were grossly osteopenic on radiographs. All 3 fractures healed in a satisfactory alignment without any complications. We believe this technique is a feasible treatment option for periprosthetic fractures in this difficult group of patients, having both biologic and mechanical advantages.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Arthroplasty, Replacement, Knee*
  • Bone Plates*
  • Bone Screws
  • Bone Transplantation / methods*
  • Bone Wires
  • Feasibility Studies
  • Female
  • Femoral Fractures / diagnostic imaging
  • Femoral Fractures / surgery*
  • Fracture Healing / physiology
  • Fractures, Comminuted / diagnostic imaging
  • Fractures, Comminuted / surgery*
  • Humans
  • Knee Injuries / diagnostic imaging
  • Knee Injuries / surgery*
  • Male
  • Osteoporosis / diagnostic imaging
  • Osteoporosis / surgery
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / surgery*
  • Radiography
  • Reoperation