Periprosthetic Fractures

  • Alexander D. Liddle
  • E. Carlos Rodríguez-MerchánEmail author


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.


Knee Arthroplasty Periprosthetic Fracture Treatment 


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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Alexander D. Liddle
    • 1
  • E. Carlos Rodríguez-Merchán
    • 2
    Email author
  1. 1.Nuffield Department of Orthopaedics, Rheumatology and Musculoskeltal Sciences, Botnar Research CentreUniversity of OxfordOxfordUK
  2. 2.Department of Orthopedic Surgery“La Paz” University Hospital-IdiPazMadridSpain

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