medigraphic.com
ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2023, Number 2

<< Back Next >>

Ortho-tips 2023; 19 (2)

Periprosthetic knee fracture, importance of the pre-surgical protocol

Macías GEJ, Hernández CIA, León BJA

Language: Spanish
References: 19
Page: 102-107
PDF size: 307.27 Kb.


ABSTRACT

Introduction: periprosthetic fractures have a low incidence, but it is considered a pathology of great impact due to the high rate of complications, the important increase in mortality and the need for a highly demanding in the surgical technique, frequently associated to low-energy trauma and the presence of osteoporosis. Case report: a 76-year-old female with a history of systemic arterial hypertension, congestive heart failure, osteoporosis, hearing loss, peripheral venous insufficiency, a surgical history of total left knee arthroplasty 15 years ago, she fell from her own height, hitting her left lower extremity and Rorabeck-Lewis II left periprosthetic fracture was diagnosed. Objective: to describe the protocol used for pre-surgical, surgical and post-surgical treatment. Conclusion: the description of the three steps of the treatment and the results at 1 year of follow-up after retrograde intramedullary nailing of the femur are presented, obtaining a successful consolidation, without evidence of loosening of the prosthetic implant, with adequate evolution and restoration of function.


REFERENCES

  1. Féron J, Ehlinger M, Lacoste S, Cherrier B. Fracturas periprotésicas de la cadera y de la rodilla. EMC - Técnicas Quirúrgicas - Ortopedia y Traumatología. 2015; 7: 1-20.

  2. Gracia-Ochoa M, Miranda I, Orenga S, Hurtado-Oliver V, Sendra F, Roselló-Añón A. Fracturas periprotésicas de fémur sobre prótesis de cadera y rodilla. Análisis de una serie de 34 casos y revisión de las series españolas en los últimos 20 años. Rev Esp Cir Ortop Traumatol [Internet]. 2016; 60 (5): 271-278. Disponible en: http://dx.doi.org/10.1016/j.recot.2016.06.005

  3. Rinehart D, Youngman T, Ahn J, Huo M. Review of patient-reported outcomes in periprosthetic distal femur fractures after total knee arthroplasty: a plate or intramedullary nail? Arthroplasty [Internet]. 2021; 3 (1): 24. Available in: http://dx.doi.org/10.1186/s42836-021-00080-w

  4. De Marco D, Messina F, Meschini C, Oliva MS, Rovere G, Maccagnano G, et al. Periprosthetic knee fractures in an elderly population: open reduction and internal fixation vs distal femur megaprostheses. Orthop Rev (Pavia). 2022; 14 (2): 33772.

  5. Canton G, Ratti C, Fattori R, Hoxhaj B, Murena L. Periprosthetic knee fractures. A review of epidemiology, risk factors, diagnosis, management and outcome. Acta Biomed. 2017; 88 (Suppl 2): 118-128. doi: 10.23750/abm.v88i2-S.6522.

  6. Shin YS, Kim HJ, Lee DH. Similar outcomes of locking compression plating and retrograde intramedullary nailing for periprosthetic supracondylar femoral fractures following total knee arthroplasty: a meta-analysis. Knee Surg Sports Traumatol Arthrosc [Internet]. 2017; 25 (9): 2921-2928. Available in: http://dx.doi.org/10.1007/s00167-016-4050-0

  7. Wadhwa H, Salazar B, Goodnough L, Van Rysselberghe N, DeBaun M, Wong H, et al. Distal femur replacement versus open reduction and internal fixation for treatment of periprosthetic distal femur fractures: a systematic review and meta-analysis. J Orthop Trauma. 2022; 36 (1): 1-6.

  8. Finzi SS, Berdini M, Carola D, Lattanzi G, Orabona G, Pascarella R, et al. Treatment of periprosthetic supracondylar fractures after CR total knee arthroplasty with retrograde intramedullary nailing in an elderly population: a long term evaluation. Orthop Rev (Pavia) [Internet]. 2022; 14 (2): 33978. Available in: http://dx.doi.org/10.52965/001c.33978

  9. Kyriakidis T, Kenanidis E, Akula MR, Zorman D, Tsiridis E. Locking plates versus retrograde intramedullary nails in the treatment of periprosthetic supracondylar knee fractures. A retrospective multicenter comparative study. Injury [Internet]. 2019; 50 (10): 1745-1749. Available in: http://dx.doi.org/10.1016/j.injury.2019.04.019

  10. Hart GP, Kneisl JS, Springer BD, Patt JC, Karunakar MA. Open reduction vs distal femoral replacement arthroplasty for comminuted distal femur fractures in the patients 70 years and older. J Arthroplasty [Internet]. 2017; 32 (1): 202-206. Available in: http://dx.doi.org/10.1016/j.arth.2016.06.006

  11. Darrith B, Bohl DD, Karadsheh MS, Sporer SM, Berger RA, Levine BR. Periprosthetic fractures of the distal femur: Is open reduction and internal fixation or distal femoral replacement superior? J Arthroplasty [Internet]. 2020; 35 (5): 1402-1406. Available in: http://dx.doi.org/10.1016/j.arth.2019.12.033

  12. González MJJ, Bustos MR, González SA. Características de los pacientes con fractura periprotésica de fémur en artroplastia total de rodilla entre 2015 y 2018. Ortho-tips. 2021; 17 (4): 202-205.

  13. Erinc S, Cam N, Kanar M, Mustafa Ozdemir H. Comparison of two surgical techniques for periprosthetic supracondylar femoral fractures: minimally invasive locking plate versus retrograde femoral nails. Sisli Etfal Hastan Tip Bul. 2021; 55 (4): 477-485.

  14. Park J, Lee JH. Comparison of retrograde nailing and minimally invasive plating for treatment of periprosthetic supracondylar femur fractures (OTA 33-A) above total knee arthroplasty. Arch Orthop Trauma Surg [Internet]. 2016; 136 (3): 331-338. Available in: http://dx.doi.org/10.1007/s00402-015-2374-8

  15. Matlovich NF, Lanting BA, Vasarhelyi EM, Naudie DD, McCalden RW, Howard JL. Outcomes of surgical management of supracondylar periprosthetic femur fractures. J Arthroplasty [Internet]. 2017; 32 (1): 189-192. Available in: http://dx.doi.org/10.1016/j.arth.2016.06.056

  16. Lee SS, Lim SJ, Moon YW, Seo JG. Outcomes of long retrograde intramedullary nailing for periprosthetic supracondylar femoral fractures following total knee arthroplasty. Arch Orthop Trauma Surg [Internet]. 2014; 134 (1): 47-52. Available in: http://dx.doi.org/10.1007/s00402-013-1890-7

  17. Paulsson M, Ekholm C, Jonsson E, Geijer M, Rolfson O. Immediate full weight-bearing versus partial weight-bearing after plate fixation of distal femur fractures in elderly patients. A randomized controlled trial. Geriatr Orthop Surg Rehabil [Internet]. 2021; 12: 21514593211055890. Available in: http://dx.doi.org/10.1177/21514593211055889

  18. Shah JK, Szukics P, Gianakos AL, Liporace FA, Yoon RS. Equivalent union rates between intramedullary nail and locked plate fixation for distal femur periprosthetic fractures - a systematic review. Injury [Internet]. 2020; 51 (4): 1062-1068. Available in: http://dx.doi.org/10.1016/j.injury.2020.02.043

  19. Etxebarria-Foronda I, Caeiro-Rey J, Larrainzar-Garijo R, Vaquero-Cervino E, Roca-Ruiz L, Mesa-Ramos M, et al. Guía SECOT-GEIOS en osteoporosis y fractura por fragilidad. Actualización. Rev Esp Cir Ortop Traumatol. 2015; 59 (6): 373-393.




2020     |     www.medigraphic.com