Periprosthetic Femoral Fractures after Total Knee Arthroplasty:Report of 18 Cases
- VernacularTitle:全膝关节置换术后股骨假体周围骨折：附18例报告
- Author:
Yi SHEN
1
;
Xiaomiao LI
;
Yurun DING
;
Xiaodong FU
;
Weili WANG
Author Information
1. 上海交通大学医学院附属仁济医院骨科
- Keywords:
Periprosthetic femoral fractures;
Total knee arthroplasty;
Reduction;
Internal fixation;
Knee function
- From:
Chinese Journal of Clinical Medicine
2014;(6):689-691
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the treatment methods and efficacy of periprosthetic femoral fractures after total knee ar-throplasty.Methods:A total of 21 patients with periprosthetic femoral fractures (Insall I or II)after total knee arthroplasty from 2007 Jul to 2012 Jun were enrolled.There were 18 patients were followed for 12-26 monthes,with an average time of 19.8 months.Among them,5 cases (Insall I 1,ⅡA 2,ⅡB 2)were treated conservatively,while the other 13 cases (Insall I 1,ⅡA 2,ⅡB 10)were treated with open reduction and internal fixation with a locking-plate.At 6 monthes after fracture,the range of motion,physical line of force were measured,and the knee function of all patients were assessed by hospital for special surgery knee score (HSS).Results:The average HSS score was 75.6 in 5 patients treated conservatively,and 85.08 in 13 patients un-dergone operation.Conclusions:Open reduction and fixation inside with locking-plate is curative for periprosthetic femoral frac-tures after total knee arthroplasty.
