Total knee arthroplasty after complex tibial plateau fractures
Total knee arthroplasty following complex fractures of the tibial plateau is considered a challenge for orthopaedic surgeons and clinical outcomes may vary. A total of 29 total knee replacements were performed after a tibial plateau fracture: 25 patients (16 women, 9 men; average age: 57 years; mean...
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| Veröffentlicht in: | Chirurgia degli organi di movimento 2009-12, Vol.93 (3), p.143-147 |
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| creator | Civinini, R. Carulli, Christian Matassi, F. Villano, M. Innocenti, M. |
| description | Total knee arthroplasty following complex fractures of the tibial plateau is considered a challenge for orthopaedic surgeons and clinical outcomes may vary. A total of 29 total knee replacements were performed after a tibial plateau fracture: 25 patients (16 women, 9 men; average age: 57 years; mean follow-up: 92 months) were available. We had two significative complications: one partial avulsion of the patellar tendon, conservatively treated by bracing, and one case of deep venous thromboembolism, managed with low molecular weight heparin. In two cases (8%) there was a failure of the implant; nine cases were excellent, nine good, four fair and one poor. A percentage of patients with previous complex proximal tibia fractures had an increased rate of postoperative complications due to anatomical deformity, functional deficiency and post-traumatic arthritis and required solutions similar to revision surgery. Total knee arthroplasty is a suitable solution for the treatment of these challenging cases: compared to primary knee replacement, final KSS score is generally lower, but improvement is similar due to poorer pre-operative scores. |
| doi_str_mv | 10.1007/s12306-009-0033-3 |
| format | Article |
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A total of 29 total knee replacements were performed after a tibial plateau fracture: 25 patients (16 women, 9 men; average age: 57 years; mean follow-up: 92 months) were available. We had two significative complications: one partial avulsion of the patellar tendon, conservatively treated by bracing, and one case of deep venous thromboembolism, managed with low molecular weight heparin. In two cases (8%) there was a failure of the implant; nine cases were excellent, nine good, four fair and one poor. A percentage of patients with previous complex proximal tibia fractures had an increased rate of postoperative complications due to anatomical deformity, functional deficiency and post-traumatic arthritis and required solutions similar to revision surgery. 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A total of 29 total knee replacements were performed after a tibial plateau fracture: 25 patients (16 women, 9 men; average age: 57 years; mean follow-up: 92 months) were available. We had two significative complications: one partial avulsion of the patellar tendon, conservatively treated by bracing, and one case of deep venous thromboembolism, managed with low molecular weight heparin. In two cases (8%) there was a failure of the implant; nine cases were excellent, nine good, four fair and one poor. A percentage of patients with previous complex proximal tibia fractures had an increased rate of postoperative complications due to anatomical deformity, functional deficiency and post-traumatic arthritis and required solutions similar to revision surgery. Total knee arthroplasty is a suitable solution for the treatment of these challenging cases: compared to primary knee replacement, final KSS score is generally lower, but improvement is similar due to poorer pre-operative scores.</description><subject>Arthroplasty, Replacement, Knee</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Joint surgery</subject><subject>Knee</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Molecular weight</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sports medicine</subject><subject>Surgical Orthopedics</subject><subject>Tibial Fractures</subject><subject>Treatment Outcome</subject><issn>2035-5106</issn><issn>2035-5114</issn><issn>1973-2538</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kMtKxDAUhoMojo4-gBspuHBVPbm3G0EGbzDgZlyHTJpqx95MUnDe3pQOKoKLcALnO_9JPoTOMFxhAHntMaEgUoA8HkpTuoeOCFCecozZ_vcdxAwde78BECzj-SGa4VxijDk7QjerLug6eW-tTbQLb67ra-3DNtFlsC4xXdPX9jMJ1bqKWOwFq4ekdNqEwVl_gg5KXXt7uqtz9HJ_t1o8psvnh6fF7TI1JBM0ZRgLYBpEnsmcCMMtI9IWvKQgGeSi5LgAYTKCc0ZAioISWRJGstysjRCaztHllNu77mOwPqim8sbWtW5tN3glKcWU8Fjm6OIPuekG18bHqfhlmlFJyUjhiTKu897ZUvWuarTbKgxqdKsmtyq6VaNbNc6c75KHdWOLn4mdzAiQCfCx1b5a92v1v6lfcImBFA</recordid><startdate>200912</startdate><enddate>200912</enddate><creator>Civinini, R.</creator><creator>Carulli, Christian</creator><creator>Matassi, F.</creator><creator>Villano, M.</creator><creator>Innocenti, M.</creator><general>Springer Milan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200912</creationdate><title>Total knee arthroplasty after complex tibial plateau fractures</title><author>Civinini, R. ; 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A total of 29 total knee replacements were performed after a tibial plateau fracture: 25 patients (16 women, 9 men; average age: 57 years; mean follow-up: 92 months) were available. We had two significative complications: one partial avulsion of the patellar tendon, conservatively treated by bracing, and one case of deep venous thromboembolism, managed with low molecular weight heparin. In two cases (8%) there was a failure of the implant; nine cases were excellent, nine good, four fair and one poor. A percentage of patients with previous complex proximal tibia fractures had an increased rate of postoperative complications due to anatomical deformity, functional deficiency and post-traumatic arthritis and required solutions similar to revision surgery. 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| subjects | Arthroplasty, Replacement, Knee Female Follow-Up Studies Humans Joint surgery Knee Male Medicine Medicine & Public Health Middle Aged Molecular weight Original Article Orthopedics Retrospective Studies Risk Factors Sports medicine Surgical Orthopedics Tibial Fractures Treatment Outcome |
| title | Total knee arthroplasty after complex tibial plateau fractures |
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