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Total Knee Arthroplasty pp 219–227Cite as

Periprosthetic Fractures

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Abstract

Periprosthetic fracture following total knee arthroplasty is associated with a significant incidence of complications, morbidity and mortality. Historically, outcomes have been poor with a high incidence of non- and malunion, but newer implants such as locking plates have the potential to improve outcomes. Supracondylar femoral fractures are the commonest form of periprosthetic knee fracture and are the most studied. This chapter aims to describe the epidemiology and classification systems for periprosthetic fracture and to provide evidence-based strategies for their treatment. In supracondylar fractures with well-fixed implants, there is little to choose between intramedullary and extramedullary treatment strategies on the basis of the current evidence. The best outcomes can be obtained by treating cases according to evidence-based classification systems, whilst the precise choice of implant is less important.

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Author information

Authors and Affiliations

  1. Nuffield Department of Orthopaedics, Rheumatology and Musculoskeltal Sciences, Botnar Research Centre, University of Oxford, Windmill Road, Oxford, OX3 7LD, UK

    Alexander D. Liddle

  2. Department of Orthopedic Surgery, “La Paz” University Hospital-IdiPaz, Paseo de la Castellana 261, Madrid, 28046, Spain

    E. Carlos Rodríguez-Merchán

Authors
  1. Alexander D. Liddle
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  2. E. Carlos Rodríguez-Merchán
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Correspondence to E. Carlos Rodríguez-Merchán .

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Editors and Affiliations

  1. "La Paz" University Hospital-IdiPaz, Madrid, Spain

    E. Carlos Rodríguez-Merchán

  2. University College London Hospitals, London, United Kingdom

    Sam Oussedik

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Liddle, A.D., Rodríguez-Merchán, E.C. (2015). Periprosthetic Fractures. In: Rodríguez-Merchán, E., Oussedik, S. (eds) Total Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-17554-6_19

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  • DOI: https://doi.org/10.1007/978-3-319-17554-6_19

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-17553-9

  • Online ISBN: 978-3-319-17554-6

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