Periprosthetic fractures in the distal femur following total knee replacement: A review and guide to management

Knee. 2012 Jun;19(3):156-62. doi: 10.1016/j.knee.2011.06.003. Epub 2011 Jul 8.


The management of distal femoral fractures following a total knee replacement can be complex and requires the equipment, perioperative support and surgical skills of both trauma and revision arthroplasty services. Recent advances in implant technology have changed the management options of these difficult fractures. This article describes the options available and discusses the latest evidence.

Publication types

  • Review

MeSH terms

  • Arthroplasty, Replacement, Knee*
  • Femoral Fractures* / classification
  • Femoral Fractures* / etiology
  • Femoral Fractures* / surgery
  • Fracture Fixation / methods
  • Fracture Fixation / standards*
  • Humans
  • Periprosthetic Fractures* / classification
  • Periprosthetic Fractures* / etiology
  • Periprosthetic Fractures* / surgery
  • Practice Guidelines as Topic*