Managing periprosthetic tibia fractures: International perspectives.

Autor:	Lewis DP; John Hunter Hospital, Newcastle, NSW, Australia.; University of Newcastle, Newcastle, NSW, Australia; and., Tarrant SM; John Hunter Hospital, Newcastle, NSW, Australia.; University of Newcastle, Newcastle, NSW, Australia; and., MacKenzie S; John Hunter Hospital, Newcastle, NSW, Australia., Cornford L; John Hunter Hospital, Newcastle, NSW, Australia., Sato T; National Hospital Organization Okayama Medical Center, Japan., Shiota N; National Hospital Organization Okayama Medical Center, Japan., Balogh ZJ; John Hunter Hospital, Newcastle, NSW, Australia.; University of Newcastle, Newcastle, NSW, Australia; and.
Jazyk:	angličtina
Zdroj:	OTA international : the open access journal of orthopaedic trauma [OTA Int] 2023 Mar 28; Vol. 6 (1 Suppl), pp. e241. Date of Electronic Publication: 2023 Mar 28 (Print Publication: 2023).
DOI:	10.1097/OI9.0000000000000241
Abstrakt:	Knee arthroplasty, both total knee and unicompartmental, has had a significant impact on millions of patients globally. Although satisfaction is usually high, complications such as periprosthetic fracture are increasingly common. Distal femur periprosthetic fractures are relatively well researched and understood in comparison with periprosthetic proximal tibia fractures (PTFs). The management of PTFs is essentially an evidence-free area. This review explores the literature (or lack thereof) and integrates cases from Australia and Japan. As it stands, there is scant literature relating to all facets of PTFs, including, most concerningly, the management of them. Larger studies are required to help further investigate this important interface between arthroplasty and orthopaedic trauma. As a guide, those with loose prostheses will likely benefit most from revision total knee arthroplasty, while those with well-fixed prostheses can be managad according to the fracture with homage paid to the presence of the prosthesis. The use of periarticular locked plates is likely a better option over conventional large or small fragment plates. Nonoperative management is a viable option for selected individuals and can be associated with favorable outcomes. Competing Interests: There is no relevant conflict of interest for all authors, nor was any funding received for this project (Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association.)
Databáze:	MEDLINE
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