Periprosthetic fractures of the tibia associated with total knee arthroplasty
One hundred two periprosthetic tibial fractures associated with total knee arthroplasty were identified in 29 men and 73 women. Eighty-three fractures occurred postoperatively, and 19 occurred intraoperatively. Fractures were classified into four types based on location and proximity to the prosthes...
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| Veröffentlicht in: | Clinical orthopaedics and related research 1997-12, Vol.345 (345), p.113-124 |
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| creator | FELIX, N. A STUART, M. J HANSSEN, A. D |
| description | One hundred two periprosthetic tibial fractures associated with total knee arthroplasty were identified in 29 men and 73 women. Eighty-three fractures occurred postoperatively, and 19 occurred intraoperatively. Fractures were classified into four types based on location and proximity to the prosthesis. There were 61 Type I fractures, occurring at the tibial plateau; 22 Type II fractures, occurring adjacent to the prosthetic stem; 17 Type III fractures, occurring distal to the prosthetic stem; and two Type IV fractures, involving the tibial tubercle. Fracture types were additionally classified by whether the prosthesis appeared to be radiographically well fixed (A) or loose (B) at the time of fracture, or whether the fracture occurred intraoperatively (C). The majority of postoperative Types I and II fractures were Types IB and IIB, and these were treated most successfully with revision surgery. Types IIA, IIIA, and IVA fractures were managed successfully by the usual principles of tibial fracture treatment. Type IC fractures usually were managed by intraoperative fixation, Type IIC by bone grafting or external immobilization and weightbearing restrictions, and Type IIIC by conventional fracture management. This classification system provides a guide for determining the appropriate treatment for tibial fractures associated with total knee arthroplasty. |
| doi_str_mv | 10.1097/00003086-199712000-00016 |
| format | Article |
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A ; STUART, M. J ; HANSSEN, A. D</creator><creatorcontrib>FELIX, N. A ; STUART, M. J ; HANSSEN, A. D</creatorcontrib><description>One hundred two periprosthetic tibial fractures associated with total knee arthroplasty were identified in 29 men and 73 women. Eighty-three fractures occurred postoperatively, and 19 occurred intraoperatively. Fractures were classified into four types based on location and proximity to the prosthesis. There were 61 Type I fractures, occurring at the tibial plateau; 22 Type II fractures, occurring adjacent to the prosthetic stem; 17 Type III fractures, occurring distal to the prosthetic stem; and two Type IV fractures, involving the tibial tubercle. Fracture types were additionally classified by whether the prosthesis appeared to be radiographically well fixed (A) or loose (B) at the time of fracture, or whether the fracture occurred intraoperatively (C). The majority of postoperative Types I and II fractures were Types IB and IIB, and these were treated most successfully with revision surgery. Types IIA, IIIA, and IVA fractures were managed successfully by the usual principles of tibial fracture treatment. Type IC fractures usually were managed by intraoperative fixation, Type IIC by bone grafting or external immobilization and weightbearing restrictions, and Type IIIC by conventional fracture management. This classification system provides a guide for determining the appropriate treatment for tibial fractures associated with total knee arthroplasty.</description><identifier>ISSN: 0009-921X</identifier><identifier>EISSN: 1528-1132</identifier><identifier>DOI: 10.1097/00003086-199712000-00016</identifier><identifier>PMID: 9418628</identifier><identifier>CODEN: CORTBR</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arthritis, Rheumatoid - surgery ; Arthroplasty, Replacement, Knee - adverse effects ; Biological and medical sciences ; Bone Transplantation ; Female ; Follow-Up Studies ; Fracture Fixation ; Humans ; Immobilization ; Intraoperative Complications ; Knee Prosthesis ; Male ; Medical sciences ; Middle Aged ; Orthopedic surgery ; Osseointegration ; Osteoarthritis - surgery ; Postoperative Complications ; Prosthesis Design ; Prosthesis Failure ; Radiography ; Reoperation ; Surface Properties ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tibia - diagnostic imaging ; Tibia - pathology ; Tibial Fractures - classification ; Tibial Fractures - diagnostic imaging ; Tibial Fractures - etiology ; Tibial Fractures - pathology ; Tibial Fractures - surgery ; Treatment Outcome ; Weight-Bearing</subject><ispartof>Clinical orthopaedics and related research, 1997-12, Vol.345 (345), p.113-124</ispartof><rights>1998 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c339t-c37c56d7b51448f695245c216a5ebfe2d7157429a3d682b6836b775488b0ed693</citedby><cites>FETCH-LOGICAL-c339t-c37c56d7b51448f695245c216a5ebfe2d7157429a3d682b6836b775488b0ed693</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,776,780,785,786,23909,23910,25118,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2086812$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9418628$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FELIX, N. A</creatorcontrib><creatorcontrib>STUART, M. J</creatorcontrib><creatorcontrib>HANSSEN, A. D</creatorcontrib><title>Periprosthetic fractures of the tibia associated with total knee arthroplasty</title><title>Clinical orthopaedics and related research</title><addtitle>Clin Orthop Relat Res</addtitle><description>One hundred two periprosthetic tibial fractures associated with total knee arthroplasty were identified in 29 men and 73 women. Eighty-three fractures occurred postoperatively, and 19 occurred intraoperatively. Fractures were classified into four types based on location and proximity to the prosthesis. There were 61 Type I fractures, occurring at the tibial plateau; 22 Type II fractures, occurring adjacent to the prosthetic stem; 17 Type III fractures, occurring distal to the prosthetic stem; and two Type IV fractures, involving the tibial tubercle. Fracture types were additionally classified by whether the prosthesis appeared to be radiographically well fixed (A) or loose (B) at the time of fracture, or whether the fracture occurred intraoperatively (C). The majority of postoperative Types I and II fractures were Types IB and IIB, and these were treated most successfully with revision surgery. Types IIA, IIIA, and IVA fractures were managed successfully by the usual principles of tibial fracture treatment. Type IC fractures usually were managed by intraoperative fixation, Type IIC by bone grafting or external immobilization and weightbearing restrictions, and Type IIIC by conventional fracture management. This classification system provides a guide for determining the appropriate treatment for tibial fractures associated with total knee arthroplasty.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthritis, Rheumatoid - surgery</subject><subject>Arthroplasty, Replacement, Knee - adverse effects</subject><subject>Biological and medical sciences</subject><subject>Bone Transplantation</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation</subject><subject>Humans</subject><subject>Immobilization</subject><subject>Intraoperative Complications</subject><subject>Knee Prosthesis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedic surgery</subject><subject>Osseointegration</subject><subject>Osteoarthritis - surgery</subject><subject>Postoperative Complications</subject><subject>Prosthesis Design</subject><subject>Prosthesis Failure</subject><subject>Radiography</subject><subject>Reoperation</subject><subject>Surface Properties</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tibia - diagnostic imaging</subject><subject>Tibia - pathology</subject><subject>Tibial Fractures - classification</subject><subject>Tibial Fractures - diagnostic imaging</subject><subject>Tibial Fractures - etiology</subject><subject>Tibial Fractures - pathology</subject><subject>Tibial Fractures - surgery</subject><subject>Treatment Outcome</subject><subject>Weight-Bearing</subject><issn>0009-921X</issn><issn>1528-1132</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1PAyEQhonR1Fr9CSYcjLfV5RuOxviV1OhBE28EWDZFt90KbEz_vdSuJYEJM-87DA8AENVXqFbiui6L1JJXSCmBcLlVZSN-AKaIYVkhRPAhmJacqhRGH8fgJKXPrYkyPAETRZHkWE7B86uPYR37lBc-BwfbaFweok-wb2HJwRxsMNCk1Ltgsm_gT8gLmPtsOvi18h6amBexX3cm5c0pOGpNl_zZGGfg_f7u7faxmr88PN3ezCtHiMrlFI7xRliGKJUtVwxT5jDihnnbetwIxATFypCGS2y5JNwKwaiUtvYNV2QGLnd9y-Tfg09ZL0NyvuvMyvdD0kJRRSTCRSh3Qle-mKJv9TqGpYkbjWq9Jan_Seo9Sf1HsljPxzcGu_TN3jiiK_WLsW6SM10Bt3Ih7WW49NxO8AsSRXsP</recordid><startdate>19971201</startdate><enddate>19971201</enddate><creator>FELIX, N. A</creator><creator>STUART, M. J</creator><creator>HANSSEN, A. D</creator><general>Springer</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>19971201</creationdate><title>Periprosthetic fractures of the tibia associated with total knee arthroplasty</title><author>FELIX, N. A ; STUART, M. J ; HANSSEN, A. D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-c37c56d7b51448f695245c216a5ebfe2d7157429a3d682b6836b775488b0ed693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthritis, Rheumatoid - surgery</topic><topic>Arthroplasty, Replacement, Knee - adverse effects</topic><topic>Biological and medical sciences</topic><topic>Bone Transplantation</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation</topic><topic>Humans</topic><topic>Immobilization</topic><topic>Intraoperative Complications</topic><topic>Knee Prosthesis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedic surgery</topic><topic>Osseointegration</topic><topic>Osteoarthritis - surgery</topic><topic>Postoperative Complications</topic><topic>Prosthesis Design</topic><topic>Prosthesis Failure</topic><topic>Radiography</topic><topic>Reoperation</topic><topic>Surface Properties</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tibia - diagnostic imaging</topic><topic>Tibia - pathology</topic><topic>Tibial Fractures - classification</topic><topic>Tibial Fractures - diagnostic imaging</topic><topic>Tibial Fractures - etiology</topic><topic>Tibial Fractures - pathology</topic><topic>Tibial Fractures - surgery</topic><topic>Treatment Outcome</topic><topic>Weight-Bearing</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FELIX, N. A</creatorcontrib><creatorcontrib>STUART, M. J</creatorcontrib><creatorcontrib>HANSSEN, A. 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D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Periprosthetic fractures of the tibia associated with total knee arthroplasty</atitle><jtitle>Clinical orthopaedics and related research</jtitle><addtitle>Clin Orthop Relat Res</addtitle><date>1997-12-01</date><risdate>1997</risdate><volume>345</volume><issue>345</issue><spage>113</spage><epage>124</epage><pages>113-124</pages><issn>0009-921X</issn><eissn>1528-1132</eissn><coden>CORTBR</coden><abstract>One hundred two periprosthetic tibial fractures associated with total knee arthroplasty were identified in 29 men and 73 women. Eighty-three fractures occurred postoperatively, and 19 occurred intraoperatively. Fractures were classified into four types based on location and proximity to the prosthesis. There were 61 Type I fractures, occurring at the tibial plateau; 22 Type II fractures, occurring adjacent to the prosthetic stem; 17 Type III fractures, occurring distal to the prosthetic stem; and two Type IV fractures, involving the tibial tubercle. Fracture types were additionally classified by whether the prosthesis appeared to be radiographically well fixed (A) or loose (B) at the time of fracture, or whether the fracture occurred intraoperatively (C). The majority of postoperative Types I and II fractures were Types IB and IIB, and these were treated most successfully with revision surgery. Types IIA, IIIA, and IVA fractures were managed successfully by the usual principles of tibial fracture treatment. Type IC fractures usually were managed by intraoperative fixation, Type IIC by bone grafting or external immobilization and weightbearing restrictions, and Type IIIC by conventional fracture management. This classification system provides a guide for determining the appropriate treatment for tibial fractures associated with total knee arthroplasty.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>9418628</pmid><doi>10.1097/00003086-199712000-00016</doi><tpages>12</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Arthritis, Rheumatoid - surgery Arthroplasty, Replacement, Knee - adverse effects Biological and medical sciences Bone Transplantation Female Follow-Up Studies Fracture Fixation Humans Immobilization Intraoperative Complications Knee Prosthesis Male Medical sciences Middle Aged Orthopedic surgery Osseointegration Osteoarthritis - surgery Postoperative Complications Prosthesis Design Prosthesis Failure Radiography Reoperation Surface Properties Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tibia - diagnostic imaging Tibia - pathology Tibial Fractures - classification Tibial Fractures - diagnostic imaging Tibial Fractures - etiology Tibial Fractures - pathology Tibial Fractures - surgery Treatment Outcome Weight-Bearing |
| title | Periprosthetic fractures of the tibia associated with total knee arthroplasty |
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