Skip to main content

Periprosthetic Fractures Around Total Knee Arthroplasty with a Stable Femoral Component

  • Chapter
  • First Online:
Periprosthetic Fractures of the Hip and Knee
  • 784 Accesses

Abstract

This chapter discusses principles and controversies surrounding the treatment of periprosthetic fractures above a knee replacement. Evaluation and treatment decisions, as well as surgical tips and tricks, are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Streubel PN. Mortality after periprosthetic femur fractures. J Knee Surg. 2013;26(1):27–30.

    Article  Google Scholar 

  2. Streubel PN, Ricci WM, Wong A, Gardner MJ. Mortality after distal femur fractures in elderly patients. Clin Orthop Relat Res. 2011;469(4):1188–96.

    Article  Google Scholar 

  3. Rorabeck CH, Taylor JW. Classification of periprosthetic fractures complicating total knee arthroplasty. Orthop Clin North Am. 1999;30(2):209–14.

    Article  CAS  Google Scholar 

  4. Kim KI, Egol KA, Hozack WJ, Parvizi J. Periprosthetic fractures after total knee arthroplasties. Clin Orthop Relat Res. 2006;446:167–75.

    Article  Google Scholar 

  5. Su ET, DeWal H, Di Cesare PE. Periprosthetic femoral fractures above total knee replacements. J Am Acad Orthop Surg. 2004;12(1):12–20.

    Article  Google Scholar 

  6. Culp RW, Schmidt RG, Hanks G, Mak A, Esterhai JL Jr, Heppenstall RB. Supracondylar fracture of the femur following prosthetic knee arthroplasty. Clin Orthop Relat Res. 1987;222:212–22.

    Google Scholar 

  7. Merkel KD, Johnson EW Jr. Supracondylar fracture of the femur after total knee arthroplasty. J Bone Joint Surg Am. 1986;68(1):29–43.

    Article  CAS  Google Scholar 

  8. Streubel PN, Gardner MJ, Morshed S, Collinge CA, Gallagher B, Ricci WM. Are extreme distal periprosthetic supracondylar fractures of the femur too distal to fix using a lateral locked plate? J Bone Joint Surg Br. 2010;92(4):527–34.

    Article  CAS  Google Scholar 

  9. Taljanovic MS, Hunter TB, Miller MD, Sheppard JE. Gallery of medical devices: part 1: orthopedic devices for the extremities and pelvis. Radiographics. 2005;25(3):859–70.

    Article  Google Scholar 

  10. Healy WL, Siliski JM, Incavo SJ. Operative treatment of distal femoral fractures proximal to total knee replacements. J Bone Joint Surg Am. 1993;75(1):27–34.

    Article  CAS  Google Scholar 

  11. Davison BL. Varus collapse of comminuted distal femur fractures after open reduction and internal fixation with a lateral condylar buttress plate. Am J Orthop. 2003;32(1):27–30.

    PubMed  Google Scholar 

  12. Figgie MP, Goldberg VM, Figgie HE 3rd, Sobel M. The results of treatment of supracondylar fracture above total knee arthroplasty. J Arthroplast. 1990;5(3):267–76.

    Article  CAS  Google Scholar 

  13. Ricci WM, Loftus T, Cox C, Borrelli J. Locked plates combined with minimally invasive insertion technique for the treatment of periprosthetic supracondylar femur fractures above a total knee arthroplasty. J Orthop Trauma. 2006;20(3):190–6.

    Article  Google Scholar 

  14. Norrish AR, Jibri ZA, Hopgood P. The LISS plate treatment of supracondylar fractures above a total knee replacement: a case-control study. Acta Orthop Belg. 2009;75(5):642–8.

    PubMed  Google Scholar 

  15. Kolb W, Guhlmann H, Windisch C, Marx F, Koller H, Kolb K. Fixation of periprosthetic femur fractures above total knee arthroplasty with the less invasive stabilization system: a midterm follow-up study. J Trauma. 2010;69(3):670–6.

    Article  Google Scholar 

  16. Hoffmann MF, Jones CB, Sietsema DL, Koenig SJ, Tornetta P 3rd. Outcome of periprosthetic distal femoral fractures following knee arthroplasty. Injury. 2012;43(7):1084–9.

    Article  CAS  Google Scholar 

  17. Kregor PJ, Hughes JL, Cole PA. Fixation of distal femoral fractures above total knee arthroplasty utilizing the Less Invasive Stabilization System (L.I.S.S.). Injury. 2001;32(Suppl 3):SC64–75.

    Article  Google Scholar 

  18. Raab GE, Davis CM 3rd. Early healing with locked condylar plating of periprosthetic fractures around the knee. J Arthroplast. 2005;20(8):984–9.

    Article  Google Scholar 

  19. Kolb W, Guhlmann H, Windisch C, Marx F, Kolb K, Koller H. Fixation of distal femoral fractures with the less invasive stabilization system: a minimally invasive treatment with locked fixed-angle screws. J Trauma. 2008;65(6):1425–34.

    Article  Google Scholar 

  20. Weight M, Collinge C. Early results of the less invasive stabilization system for mechanically unstable fractures of the distal femur (AO/OTA types A2, A3, C2, and C3). J Orthop Trauma. 2004;18(8):503–8.

    Article  Google Scholar 

  21. Falck M, Hontzasch T, Krettek C. LISS (less invasive stabilization system) als minimalinvasive alternative bei distalen Femurfrakturen. Trauma Berufskrankh. 1999;1:402–6.

    Article  Google Scholar 

  22. Althausen PL, Lee MA, Finkemeier CG, Meehan JP, Rodrigo JJ. Operative stabilization of supracondylar femur fractures above total knee arthroplasty: a comparison of four treatment methods. J Arthroplast. 2003;18(7):834–9.

    Article  Google Scholar 

  23. Hierholzer C, von Ruden C, Potzel T, Woltmann A, Buhren V. Outcome analysis of retrograde nailing and less invasive stabilization system in distal femoral fractures: a retrospective analysis. Indian J Orthop. 2011;45(3):243–50.

    Article  Google Scholar 

  24. Anglen J, Kyle RF, Marsh JL, et al. Locking plates for extremity fractures. J Am Acad Orthop Surg. 2009;17(7):465–72.

    Article  Google Scholar 

  25. Ebraheim NA, Liu J, Hashmi SZ, Sochacki KR, Moral MZ, Hirschfeld AG. High complication rate in locking plate fixation of lower periprosthetic distal femur fractures in patients with total knee arthroplasties. J Arthroplast. 2012;27(5):809–13.

    Article  Google Scholar 

  26. Bong MR, Egol KA, Koval KJ, et al. Comparison of the LISS and a retrograde-inserted supracondylar intramedullary nail for fixation of a periprosthetic distal femur fracture proximal to a total knee arthroplasty. J Arthroplast. 2002;17(7):876–81.

    Article  Google Scholar 

  27. Herrera DA, Kregor PJ, Cole PA, Levy BA, Jonsson A, Zlowodzki M. Treatment of acute distal femur fractures above a total knee arthroplasty: systematic review of 415 cases (1981-2006). Acta Orthop. 2008;79(1):22–7.

    Article  Google Scholar 

  28. Wick M, Muller EJ, Kutscha-Lissberg F, Hopf F, Muhr G. Periprosthetic supracondylar femoral fractures: LISS or retrograde intramedullary nailing? Problems with the use of minimally invasive technique. Unfallchirurg. 2004;107(3):181–8.

    Article  CAS  Google Scholar 

  29. Srinivasan K, Macdonald DA, Tzioupis CC, Giannoudis PV. Role of long stem revision knee prosthesis in periprosthetic and complex distal femoral fractures: a review of eight patients. Injury. 2005;36(9):1094–102.

    Article  Google Scholar 

  30. Cordeiro EN, Costa RC, Carazzato JG, Silva JS. Periprosthetic fractures in patients with total knee arthroplasties. Clin Orthop Relat Res. 1990;252:182–9.

    Google Scholar 

  31. Pour AE, Parvizi J, Slenker N, Purtill JJ, Sharkey PF. Rotating hinged total knee replacement: use with caution. J Bone Joint Surg Am. 2007;89(8):1735–41.

    PubMed  Google Scholar 

  32. Chen F, Mont MA, Bachner RS. Management of ipsilateral supracondylar femur fractures following total knee arthroplasty. J Arthroplast. 1994;9(5):521–6.

    Article  CAS  Google Scholar 

  33. Kassab M, Zalzal P, Azores GM, Pressman A, Liberman B, Gross AE. Management of periprosthetic femoral fractures after total knee arthroplasty using a distal femoral allograft. J Arthroplast. 2004;19(3):361–8.

    Article  Google Scholar 

  34. Saidi K, Ben-Lulu O, Tsuji M, Safir O, Gross AE, Backstein D. Supracondylar periprosthetic fractures of the knee in the elderly patients: a comparison of treatment using allograft-implant composites, standard revision components, distal femoral replacement prosthesis. J Arthroplast. 2014;29(1):110–4.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Hwang, J.S., Collinge, C. (2019). Periprosthetic Fractures Around Total Knee Arthroplasty with a Stable Femoral Component. In: Liporace, F., Yoon, R. (eds) Periprosthetic Fractures of the Hip and Knee. Springer, Cham. https://doi.org/10.1007/978-3-319-43008-9_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-43008-9_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43007-2

  • Online ISBN: 978-3-319-43008-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics