| Autor: |
Jun-Ho Kim, Kang-Il Kim, Ki Chul Park, Oog-Jin Shon, Jae Ang Sim, Gi Beom Kim |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
The Journal of Arthroplasty. 37:966-973 |
| ISSN: |
0883-5403 |
| Popis: |
This study aimed to establish a new classification using locked-plate fixation for periprosthetic distal femoral fracture (PDFF) following total knee arthroplasty (TKA) and to determine when dual locked-plate fixation is necessary through defining this classification.One-hundred fifteen consecutive PDFFs that underwent operative treatment were reviewed from 2011 to 2019 with minimum 1-year follow-up. Most PDFFs were fixed with single or dual locked-plate fixations using the minimally invasive plate osteosynthesis technique. Based on preoperative radiographs, PDFFs were classified according to the level of main fracture line relative to the anterior flange of femoral component: type I and II, main fracture line located proximal and distal to the anterior flange; and type III, component instability regardless of fracture line requiring revisional TKA. Furthermore, type II fractures were subclassified based on the direction of fracture beak as follows: type IIIncidences of type I, IIThe new classification provides practical and obvious strategies for the treatment of PDFF following TKA using locked-plate fixation. For type II |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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