REVISION ARTHROPLASTY VERSUS OPEN REDUCTION AND INTERNAL FIXATION FOR PERIPROSTHETIC FEMORAL FRACTURES AROUND A TOTAL KNEE ARTHROPLASTY

N. Bua; M. Kwok; W. Wignadasan; F. Iranpour; P. Subramanian

doi:10.1302/1358-992X.2022.7.035

Article alerts Social media

Current issue

Knee

REVISION ARTHROPLASTY VERSUS OPEN REDUCTION AND INTERNAL FIXATION FOR PERIPROSTHETIC FEMORAL FRACTURES AROUND A TOTAL KNEE ARTHROPLASTY

The British Association for Surgery of the Knee (BASK) May 2022 Meeting, Newport, Wales, 17–18 May 2022.

N. Bua
M. Kwok
W. Wignadasan
F. Iranpour
P. Subramanian

REVISION ARTHROPLASTY VERSUS OPEN REDUCTION AND INTERNAL FIXATION FOR PERIPROSTHETIC FEMORAL FRACTURES AROUND A TOTAL KNEE ARTHROPLASTY

Bua N, Kwok M, Wignadasan W, Iranpour F, Subramanian P. REVISION ARTHROPLASTY VERSUS OPEN REDUCTION AND INTERNAL FIXATION FOR PERIPROSTHETIC FEMORAL FRACTURES AROUND A TOTAL KNEE ARTHROPLASTY. Orthop Procs. 2022;104-B(SUPP_7):35-35. doi:10.1302/1358-992X.2022.7.035

Bua, N., et al. “REVISION ARTHROPLASTY VERSUS OPEN REDUCTION AND INTERNAL FIXATION FOR PERIPROSTHETIC FEMORAL FRACTURES AROUND A TOTAL KNEE ARTHROPLASTY.” Orthopaedic Proceedings, vol. 104-B, no. SUPP_7, 2022, pp. 35-35., https://doi.org/10.1302/1358-992X.2022.7.035

Bua, N., Kwok, M., Wignadasan, W., Iranpour, F., & Subramanian, P. (2022). REVISION ARTHROPLASTY VERSUS OPEN REDUCTION AND INTERNAL FIXATION FOR PERIPROSTHETIC FEMORAL FRACTURES AROUND A TOTAL KNEE ARTHROPLASTY. Orthopaedic Proceedings, 104-B(SUPP_7), 35-35. https://doi.org/10.1302/1358-992X.2022.7.035

Bua, N., Kwok, M., Wignadasan, W., Iranpour, F. and Subramanian, P. (2022) “REVISION ARTHROPLASTY VERSUS OPEN REDUCTION AND INTERNAL FIXATION FOR PERIPROSTHETIC FEMORAL FRACTURES AROUND A TOTAL KNEE ARTHROPLASTY.” Orthopaedic Proceedings, 104-B(SUPP_7), pp. 35-35. Available at: https://doi.org/10.1302/1358-992X.2022.7.035

Bua, N., M. Kwok, W. Wignadasan, F. Iranpour, and P. Subramanian. “REVISION ARTHROPLASTY VERSUS OPEN REDUCTION AND INTERNAL FIXATION FOR PERIPROSTHETIC FEMORAL FRACTURES AROUND A TOTAL KNEE ARTHROPLASTY.” Orthopaedic Proceedings 104-B, no. SUPP_7 (2022): 35-35. https://doi.org/10.1302/1358-992X.2022.7.035

Bua N, Kwok M, Wignadasan W, Iranpour F, Subramanian P. REVISION ARTHROPLASTY VERSUS OPEN REDUCTION AND INTERNAL FIXATION FOR PERIPROSTHETIC FEMORAL FRACTURES AROUND A TOTAL KNEE ARTHROPLASTY. Orthop Procs. 2022 Jul 1;104-B(SUPP_7):35-35. https://doi.org/10.1302/1358-992X.2022.7.035

Copy to clipboard

BibTeX

EndNote

RIS

Abstract

Background

The incidence of periprosthetic fractures of the femur around a total knee arthroplasty (TKA) is rising and this is owed to the increased longevity that today's TKA implants allow for, as well as an aging population. These injuries are significant as they are related to increased morbidity and mortality.

Methods

We retrospectively reviewed all periprosthetic fractures around a TKA that presented to our NHS Trust between 2011 to 2020. Medical records were reviewed. Treatment, complications and mortality were noted.

Results

37 patients (34 females) with an average age of 84 (range 65–99) met the inclusion criteria for this study. 17 patients (45.9%) underwent open reduction and internal fixation (ORIF), eight patients (21.6%) underwent revision arthroplasty to a distal femoral replacement (DFR) and 12 patients (32.4%) were treated non-operatively. 10 (58.8%) of the 17 patients that were treated with ORIF were discharged from hospital to a rehabilitation facility rather than their usual residence. In comparison, 3 (37.5%) of the patients that were treated with a DFR were discharged to a rehabilitation facility. one-year mortality rate in the ORIF group was 29.4 compared to 12.5% in those that had a DFR.

Conclusion

Revision arthroplasty using a DFR should be considered in patients with periprosthetic fractures around a TKR, as it is associated with lower mortality rates and higher immediate post-operative function.