| Autor: |
Alberto V. Carli, MD, Ioannis Gkiatas, MD, PhD, Thomas W. Bauer, MD, PhD, Timothy M. Wright, PhD, Fernando Quevedo Gonzalez, PhD, Peter K. Sculco, MD |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Arthroplasty Today, Vol 7, Iss , Pp 188-193 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2352-3441 |
| DOI: |
10.1016/j.artd.2020.12.009 |
| Popis: |
Early periprosthetic fractures after total knee arthroplasty are rare but devastating complications which require revision surgery and lead to poor patient satisfaction. We present 2 siblings who underwent primary total knee arthroplasty on the same day and then both presented 2 weeks after surgery with atraumatic periprosthetic femur fractures. The first patient underwent revision for a cemented distal femoral replacement with stemmed tibial fixation. The second patient underwent an isolated femoral component revision with a stemmed femoral component and distal augment. Histological evaluation identified significant peri-implant osteoporosis. The variation in complexity associated with early periprosthetic femoral insufficiency fractures is highlighted by these 2 cases. Surgeons may consider using stemmed femoral components in similar patients if poor distal femoral bone stock is encountered intraoperatively. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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