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Journal articles on the topic 'Periprosthetic fractures Knee arthroplasty Open Reduction Internal Fixation Revision Surgery'

Author: Grafiati

Published: 7 June 2025

Last updated: 2 August 2025

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1

Ragland, Katelyn, Rebecca Reif, Saleema Karim, et al. "Demographics, Treatment, and Cost of Periprosthetic Femur Fractures: Fixation Versus Revision." Geriatric Orthopaedic Surgery & Rehabilitation 11 (January 1, 2020): 215145932093955. http://dx.doi.org/10.1177/2151459320939550.

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Introduction: Periprosthetic femur fractures (PPFX) are complications of both total hip and knee arthroplasty and may be treated with open reduction and internal fixation (ORIF) or revision arthroplasty. Differences in treatment and fracture location may be related to patient demographics and lead to differences in cost. Our study examined the effects of demographics and treatment of knee and hip PPFXs on length of stay (LOS) and cost. Methods: Of all, 932 patients were identified with hip or knee PPFXs in the National Inpatient Sample from January 2013 to September 2015. Age, gender, race, mo

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Kenny, Yulian, Ngurah Putra Stanu Gusti, Agus Maharjana Made, and Gede Bakta Giri Kadek. "Revision Arthroplasty Versus Open Reduction Internal Fixation for Distal Femur Periprosthetic Fractures: A Systematic Review." International Journal of Medical Science and Clinical Research Studies 05, no. 01 (2025): 44–50. https://doi.org/10.5281/zenodo.14608890.

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<strong>Introduction </strong>Distal femur periprosthetic fractures are a challenging complication following total knee arthroplasty (TKA). Primary surgical approaches are Revision Arthroplasty (RA) and Open Reduction Internal Fixation (ORIF). RA replaces unstable prosthetic components, while ORIF preserves the prosthesis. This review aims to evaluate the outcomes of RA and ORIF. <strong>Method</strong> This review followed PRISMA 2020 guidelines. Literature search was conducted across PubMed, Scopus, and Google Scholar. Data extraction and bias assessment were performed independently. <s

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Tibbo, Meagan E., Afton K. Limberg, Elizabeth B. Gausden, et al. "Outcomes of operatively treated interprosthetic femoral fractures." Bone & Joint Journal 103-B, no. 7 Supple B (2021): 122–28. http://dx.doi.org/10.1302/0301-620x.103b7.bjj-2020-2275.r1.

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Aims The prevalence of ipsilateral total hip arthroplasty (THA) and total knee arthroplasty (TKA) is rising in concert with life expectancy, putting more patients at risk for interprosthetic femur fractures (IPFFs). Our study aimed to assess treatment methodologies, implant survivorship, and IPFF clinical outcomes. Methods A total of 76 patients treated for an IPFF from February 1985 to April 2018 were reviewed. Prior to fracture, at the hip/knee sites respectively, 46 femora had primary/primary, 21 had revision/primary, three had primary/revision, and six had revision/revision components. Mea

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Minutillo, Gregory T., Jaret M. Karnuta, Joseph Koressel, et al. "Fixation or Revision for Periprosthetic Fractures." Journal of Bone and Joint Surgery 106, no. 12 (2024): 1054–61. http://dx.doi.org/10.2106/jbjs.23.00868.

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Background: Periprosthetic fractures can be devastating complications after total joint arthroplasty (TJA). The management of periprosthetic fractures is complex, spanning expertise in arthroplasty and trauma. The purpose of this study was to examine and project trends in the operative treatment of periprosthetic fractures in the United States. Methods: A large, public and private payer database was queried to capture all International Classification of Diseases, Tenth Revision (ICD-10) diagnosis codes for periprosthetic femoral and tibial fractures. Statistical models were created to assess t

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Williams, Jevan AT, Haseeb Khawar, and Rory Middleton. "Periprosthetic femoral fractures." British Journal of Hospital Medicine 85, no. 2 (2024): 1–9. http://dx.doi.org/10.12968/hmed.2023.0378.

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The incidence of periprosthetic femoral fractures is rising in the UK, because of an ageing population and an increasing number of hip arthroplasty operations being performed. They can occur intra- or postoperatively, and usually follow low energy trauma. They present with pain, swelling over the thigh, and an inability to weight bear. Periprosthetic femoral fractures are usually classified as per the unified classification system. Their management usually is dependent on their classification, with type A (fracture at level of greater or lesser trochanter) managed non-operatively with protecte

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Khan, Saad, and Andrew Schmidt. "Distal Femoral Replacement for Periprosthetic Fractures around Total Knee Arthroplasty: When and How?" Journal of Knee Surgery 32, no. 05 (2019): 388–91. http://dx.doi.org/10.1055/s-0039-1683978.

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AbstractPeriprosthetic fractures around total knee arthroplasty have become more common with the increasing incidence of total knee arthroplasty. These fractures are challenging to treat, especially in older patients with poor bone stock. Although open reduction internal fixation remains the most common treatment, revision with distal femoral replacement has become popular in recent years. Careful evaluation and planning are required to have successful outcomes. We present a review of distal femoral replacement in periprosthetic fractures around the total knee arthroplasty, along with surgical

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Birch, Christopher E., Michael Blankstein, Jesse D. Chlebeck, and Craig S. Bartlett 3rd. "Orthogonal Plating of Vancouver B1 and C-Type Periprosthetic Femur Fracture Nonunions." HIP International 27, no. 6 (2017): 578–83. http://dx.doi.org/10.5301/hipint.5000500.

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Background Periprosthetic femoral shaft fractures are a significant complication after total hip arthroplasty (THA). Plate osteosynthesis has been the mainstay of treatment around well-fixed stems. Nonunions are a rare and challenging complication of this fixation method. We report the outcomes of a novel orthogonal plating surgical technique for Vancouver B1 and C-type periprosthetic fractures that previously failed open reduction internal fixation (ORIF). Methods A retrospective review identified all patients with Vancouver B1/C THA periprosthetic femoral nonunions from 2010 to 2015. Exclusi

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Gonzalez-Morgado, Diego, Jose Vicente Andres-Peiro, Jordi Selga Marsa, et al. "Open reduction and polyaxial plating for stemmed knee periprosthetic fractures: A case series." SICOT-J 9 (2023): 24. http://dx.doi.org/10.1051/sicotj/2023022.

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Introduction: Stemmed total knee arthroplasty (STKA) periprosthetic fractures (PPFs) are an emerging problem affecting frail patients. Their surgical fixation is challenging, due to intramedullary involvement and poor bone stock. Polyaxial locking plating has yielded good results in implant-related femur fractures. We hypothesized that this treatment would provide similar results for STKA PPFs. Methods: Retrospective analysis of consecutive patients with a femoral PPF or inter-implant fracture around a knee revision stem who had undergone open reduction and periprosthetic-specific polyaxial pl

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Powell-Bowns, Matilda F. R., Erlend Oag, Nathan Ng, et al. "Vancouver B periprosthetic fractures involving the Exeter cemented stem." Bone & Joint Journal 103-B, no. 2 (2021): 309–20. http://dx.doi.org/10.1302/0301-620x.103b2.bjj-2020-0695.r1.

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Aims The aim of this study was to determine whether fixation, as opposed to revision arthroplasty, can be safely used to treat reducible Vancouver B type fractures in association with a cemented collarless polished tapered femoral stem (the Exeter). Methods This retrospective cohort study assessed 152 operatively managed consecutive unilateral Vancouver B fractures involving Exeter stems; 130 were managed with open reduction and internal fixation (ORIF) and 22 with revision arthroplasty. Mean follow-up was 6.5 years (SD 2.6; 3.2 to 12.1). The primary outcome measure was revision of at least on

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Zazirnyi, I. M. "Epidemiology, Classification and Treatment of Femur and Tibia Fractures around Total Knee Arthroplasty (Literature Review)." TERRA ORTHOPAEDICA, no. 2(121) (October 8, 2024): 54–61. http://dx.doi.org/10.37647/2786-7595-2024-121-2-54-61.

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Summary. Periprosthetic fractures around total knee arthroplasty (TKA) are difficult to treat due to complex fracture morphology, high proportions of injuries associated with osteopenia, and the variability of injury patterns. Periprosthetic fractures associated with TKA are defined as fractures around the knee joint (femur, tibia, or patella) occurring within 5 cm of the intramedullary stem of the prosthesis or 15 cm of the joint. The incidence is estimated to be between 0.3% and 2.5% after primary TKA and up to 28% after revision TKA. There are several surgical and nonsurgical risk factors a

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Cacciola, Giorgio, Fabio Mancino, Federico De Meo, Antongiulio Bruschetta, Ivan De Martino, and Pietro Cavaliere. "Current Reconstruction Options in Periprosthetic Fractures Around the Knee." Geriatric Orthopaedic Surgery & Rehabilitation 12 (January 1, 2021): 215145932110239. http://dx.doi.org/10.1177/21514593211023996.

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Background: Periprosthetic fractures are a rare complication after total knee arthroplasty (TKA). However, the incidence of these fractures is growing after the increasing number of TKAs performed every year and the progressive aging of the population. In addition, the surgical treatment and peri-operative management of these complications are demanding, representing a challenge for the orthopedic surgeon. Significance: A thorough understanding of these fractures and a correct classification are necessary in order to select the most suitable surgical treatment. The aim of this review was to an

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Brown, Nicholas M., Gerard Engh, and Kevin Fricka. "Periprosthetic Fracture following Partial Knee Arthroplasty." Journal of Knee Surgery 32, no. 10 (2018): 947–52. http://dx.doi.org/10.1055/s-0038-1672204.

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AbstractPartial knee arthroplasty is a procedure with long-term successful outcomes. However, there are several potential complications including retained cement fragments, bearing dislocation, infection, component loosening, medial collateral ligament injury, and overcorrection, leading to progressive arthritis. Periprosthetic fracture is an uncommon complication, with multiple reports showing an incidence of less than 1%. Hence, there are no established algorithms to guide treatment. A consecutive series of 2,464 patients who underwent partial knee arthroplasty between January 2009 and April

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González-Martín, David, José Luis Pais-Brito, Sergio González-Casamayor, Ayron Guerra-Ferraz, Jorge Ojeda-Jiménez, and Mario Herrera-Pérez. "Treatment algorithm in Vancouver B2 periprosthetic hip fractures: osteosynthesis vs revision arthroplasty." EFORT Open Reviews 7, no. 8 (2022): 533–41. http://dx.doi.org/10.1530/eor-21-0129.

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There is currently a debate on whether all Vancouver B2 periprosthetic hip fractures should be revised. The aim of our work was to establish a decision-making algorithm that helps to decide whether open reduction and internal fixation (ORIF) or revision arthroplasty (RA) should be performed in these patients. Relative indications in favour of ORIF are low-medium functional demand (Parker mobility score (PMS) <5), high anaesthetic risk (American Society of Anesthesiologists score (ASA) ≥ 3), many comorbidities (Charlson Comorbidity Index (CCI) ≥ 5), 1 zone fractured (VB2.1), anatomical recon

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Baum, C., M. Leimbacher, P. Kriechling, A. Platz, and D. Cadosch. "Treatment of Periprosthetic Femoral Fractures Vancouver Type B2: Revision Arthroplasty Versus Open Reduction and Internal Fixation With Locking Compression Plate." Geriatric Orthopaedic Surgery & Rehabilitation 10 (January 1, 2019): 215145931987685. http://dx.doi.org/10.1177/2151459319876859.

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Introduction: The Vancouver algorithm recommends revision arthroplasty (RA) for Vancouver type B2 (VTB2) fractures. However, open reduction and internal fixation (ORIF) using locking compression plates (LCP) may be a valid and less invasive alternative treatment. Materials and Methods: Between January 2007 and March 2017, we retrospectively recruited all patients treated with either ORIF with LCP or RA for VTB2 fractures in our clinic. All of the following were reviewed: the length of hospital stay, the operating time, the need for blood transfusions during and/or after surgery, implant-relate

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Schreiner, Anna, Christoph Gonser, Christoph Ihle, et al. "Adverse Events in the Treatment of Periprosthetic Fractures Around the Knee – a Clinical and Radiological Outcome Analysis." Zeitschrift für Orthopädie und Unfallchirurgie 156, no. 03 (2018): 287–97. http://dx.doi.org/10.1055/s-0043-123831.

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Abstract Background The incidence of periprosthetic fractures associated with total knee arthroplasty (PpFxK) has been reported to be 0.3 – 5.5%. 40% of all cases are related to revision TKA. The most common localisation is the distal femur. Classification is performed according to Rorabeck (RB). RB I – II fractures are usually treated with locked plating and retrograde intramedullary nailing, whereas RB III fractures are an indication for revision arthroplasty using a hinged endoprosthesis. PpFxK of the patella can be classified according to Goldberg and PpFxK of the proximal tibia can be gro

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Jabalameli, Mahmoud, Amirali Karimi, Rahmatalah Jokar, Mehdi Mohammadpour, Hooman Yahyazadeh, and Sina Talebi. "Long Low-profile Proximal Tibial Locking Plate for the Fixation of Periprosthetic Femoral Fractures Above the Prosthesis: A Pilot Study." Journal of Research in Orthopedic Science 8, no. 3 (2021): 141–48. http://dx.doi.org/10.32598/jrosj.8.3.771.1.

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Background: Anatomic distal femoral plates locking compression plate (LCP) are generally used for the fixation of distal femoral fractures. However, they are not suitable for periprosthetic femoral fracture after total knee arthroplasty (TKA), mainly owing to the impingement with prosthesis. Objectives: In this case series, we report the outcome of proximal tibial LCP fixation in the treatment of periprosthetic femoral fracture after TKA. Patients and Methods: Twelve patients with a periprosthetic femoral fracture who underwent surgical treatment were included. According to Su et al. classific

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Jain, Sameer, Mohamed Z. Farook, Nayef Aslam-Pervez, et al. "A multicentre comparative analysis of fixation versus revision surgery for periprosthetic femoral fractures following total hip arthroplasty with a cemented polished taper-slip femoral component." Bone & Joint Journal 105-B, no. 2 (2023): 124–34. http://dx.doi.org/10.1302/0301-620x.105b2.bjj-2022-0685.r1.

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Aims The aim of this study was to compare open reduction and internal fixation (ORIF) with revision surgery for the surgical management of Unified Classification System (UCS) type B periprosthetic femoral fractures around cemented polished taper-slip femoral components following primary total hip arthroplasty (THA). Methods Data were collected for patients admitted to five UK centres. The primary outcome measure was the two-year reoperation rate. Secondary outcomes were time to surgery, transfusion requirements, critical care requirements, length of stay, two-year local complication rates, six

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Sun, Quanxiang, Changjie Liu, Xuedong Sun, et al. "The “blownknee” patient’s stress fracture of distal tibial component after unilateral TKA: A case report." Medicine 103, no. 34 (2024): e39382. http://dx.doi.org/10.1097/md.0000000000039382.

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Rationale: Periprosthetic fractures (PPF) are rare complications of total knee arthroplasty (TKA). The most common PPF after TKA is supracondylar femoral fracture, which is a relatively rare complication that is usually associated with high-energy trauma, with a reported incidence ranging from 0.4 to 1.7% according to the AOANJRR. However, in TKA patients, it is rarer that the stress fracture around the tibial prosthesis occurs due to changes in the lower limb force line, increasing weight-bearing, and changes in walking gait. Patient concerns: A 68-year-old woman visited our hospital with “bo

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Takami, Hideomi, Yasuhiko Takegami, Katsuhiro Tokutake, et al. "Mortality and clinical outcomes of Vancouver type B periprosthetic femoral fractures." Bone & Joint Open 4, no. 1 (2023): 38–46. http://dx.doi.org/10.1302/2633-1462.41.bjo-2022-0145.r1.

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Aims The objectives of this study were to investigate the patient characteristics and mortality of Vancouver type B periprosthetic femoral fractures (PFF) subgroups divided into two groups according to femoral component stability and to compare postoperative clinical outcomes according to treatment in Vancouver type B2 and B3 fractures. Methods A total of 126 Vancouver type B fractures were analyzed from 2010 to 2019 in 11 associated centres' database (named TRON). We divided the patients into two Vancouver type B subtypes according to implant stability. Patient demographics and functional sco

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Stoffel, Karl, Michael Blauth, Alexander Joeris, Andrea Blumenthal, and Elke Rometsch. "Fracture fixation versus revision arthroplasty in Vancouver type B2 and B3 periprosthetic femoral fractures: a systematic review." Archives of Orthopaedic and Trauma Surgery 140, no. 10 (2020): 1381–94. http://dx.doi.org/10.1007/s00402-020-03332-7.

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Abstract Introduction Hip arthroplasty (HA) is commonly performed to treat various hip pathologies. Its volume is expected to rise further due to the increasing age of the population. Complication rates are low; however, periprosthetic femoral fractures (PFF) are a rare, albeit serious, complication with substantial economic impact. While current guidelines propose revision with long-stemmed prostheses for all Vancouver B2 and B3 PFF, some recent research papers suggest that open reduction with internal fixation (ORIF) could lead to an equivalent outcome. Our aim was to summarize the evidence,

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Ramasamy, Boopalan, John M. Abrahams, Alexandra C. Bunting, et al. "Total hip arthroplasty for acute acetabular fractures through the replace-in-situ philosophy." Bone & Joint Journal 107-B, no. 8 (2025): 784–92. https://doi.org/10.1302/0301-620x.107b8.bjj-2024-1232.r1.

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AimsThis study investigated the outcomes of total hip arthroplasty (THA) performed for acute acetabular fractures through a replace-in-situ technique, where no attempt was made at fracture reduction, fixation, or restoration of columns before acetabular component insertion.MethodsWe report the clinical outcomes at a mean follow-up of five years of 41 acute complex acetabular fractures in 41 patients, with a mean age of 76 years (54 to 97), who underwent THA through a replace-in-situ technique.ResultsFour patients died during the acute episode of care, and one within 12 months. All fractures he

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Lampert, Christopher, Christoph Linhart, Boris Michael Holzapfel, Wolfgang Böcker, Carl Neuerburg, and Yunjie Zhang. "Open Reduction and Internal Fixation Is a Feasible Alternative to Femoral Revision Arthroplasty in Geriatric Patients with Vancouver B2/3 Type Periprosthetic Fractures: A Study Analyzing In-Hospital Outcomes." Journal of Clinical Medicine 13, no. 21 (2024): 6475. http://dx.doi.org/10.3390/jcm13216475.

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Purpose: The surgical management of periprosthetic femoral fractures is particularly challenging in geriatric patients due to physiological limitations. The choice between open reduction and internal fixation (ORIF) and hip revision arthroplasty for treating Vancouver B2 and B3 fractures remains controversial. This study aims to contribute further evidence by analyzing the in-hospital outcomes in geriatric patients with Vancouver B2/3 fractures. Methods: This retrospective study analyzed 133 patients treated for Vancouver B2/3 fractures at a level I trauma center from 2017 to 2023. Data were c

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Kennedy, John W., Elliot J. Rooney, Paul J. Ryan, et al. "Does delay to theatre influence morbidity or mortality in femoral periprosthetic fractures?" Bone & Joint Open 5, no. 6 (2024): 452–56. http://dx.doi.org/10.1302/2633-1462.56.bjo-2024-0017.r1.

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AimsFemoral periprosthetic fractures are rising in incidence. Their management is complex and carries a high associated mortality. Unlike native hip fractures, there are no guidelines advising on time to theatre in this group. We aim to determine whether delaying surgical intervention influences morbidity or mortality in femoral periprosthetic fractures.MethodsWe identified all periprosthetic fractures around a hip or knee arthroplasty from our prospectively collated database between 2012 and 2021. Patients were categorized into early or delayed intervention based on time from admission to sur

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Laurer, Helmut L., Sebastian Wutzler, Susann Possner, et al. "Outcome after operative treatment of Vancouver type B1 and C periprosthetic femoral fractures: open reduction and internal fixation versus revision arthroplasty." Archives of Orthopaedic and Trauma Surgery 131, no. 7 (2011): 983–89. http://dx.doi.org/10.1007/s00402-011-1272-y.

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Zhou, Xinhua, Min Wang, Chao Liu, Liang Zhang, and Yixin Zhou. "Total knee arthroplasty for severe valgus knee deformity." Chinese Medical Journal 127, no. 6 (2014): 1062–66. http://dx.doi.org/10.3760/cma.j.issn.0366-6999.20132488.

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Background Primary total knee arthroplasty (TKA) in severe valgus knees may prove challenging, and choice of implant depends on the severity of the valgus deformity and the extent of soft-tissue release. The purpose of this study was to review 8 to 11 years (mean, 10 years) follow-up results of primary TKA for varient-III valgus knee deformity with use of different type implants. Methods Between January 2002 and January 2005, 20 women and 12 men, aged 47 to 63 (mean, 57.19±6.08) years old, with varient-III valgus knees underwent primary TKA. Of the 32 patients, 37 knees had varient-III deformi

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De Marco, Davide, Federica Messina, Cesare Meschini, et al. "Periprosthetic knee fractures in an elderly population: open reduction and internal fixation vs distal femur megaprostheses." Orthopedic Reviews 14, no. 2 (2022). http://dx.doi.org/10.52965/001c.33772.

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The incidence of periprosthetic fractures of distal femur (PPDFFx) after primary total knee arthroplasties is described around 0.3% and 2.5% and it is increasing as the number of patients with total knee arthroplasty continues to arise. surgical options treatments for PPDFFx include fixation in the form of eather Open reduction and internal fixation (ORIF), or retrograde intramedullary nailing (RIMN), or conventional (non locked) plating, or locked plating such as the Less Invasive Stabilization System (LISS), or dynamic condylar screws. In recent years, however, the use of megaprostheses has

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Ahmad, Kamal Ren Jiang Dong Rafiqullah Shah Cao Li. "FRACTURES AFTER TOTAL KNEE ARTHROPLASTY." March 16, 2020. https://doi.org/10.5281/zenodo.3712148.

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<strong><em>Purpose. </em></strong><em>The present study aims to assess outcome of periprosthetic fractures after TKA in 21 patients. <strong>Methods: </strong></em><em>The present study was conducted from May 2012 to September 2019 at joint surgery unit Xinjiang Medical University. The records of 21 patients, with age range of 44 to 80 years, were retrieved from the hospital data. These patients operative treatment for periprosthetic fractures of supracondylar femur, tibia andpatella due to low velocity injuries or minor falls. </em><strong><em>Results: </em></strong><em>There were 11 males a

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Stancil, Ryan, Jacob Romm, William Lack, et al. "Distal Femoral Replacement for Fractures Allows for Early Mobilization with Low Complication Rates: A Multicenter Review." Journal of Knee Surgery, June 29, 2021. http://dx.doi.org/10.1055/s-0041-1731353.

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AbstractPeriprosthetic fractures around a total knee arthroplasty (TKA), comminuted and intra-articular femur fractures, or fracture nonunions in osteoporotic bone represent technically challenging problems. This is particularly true when the fracture involves a loose femoral component or the pattern results in suboptimal fixation potential. These clinical indications often arise in an older and comorbid patient population in whom a principal goal of treatment includes allowing for early mobilization. Limited data indicate that arthroplasty via distal femoral replacement (DFR) is a reasonable

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Pellegrino, Achille, Andrea Coscione, Adriano Santulli, Giuseppe Pellegrino, and Mario Paracuollo. "KNEE PERIPROSTHETIC FRACTURES IN THE ELDERLY: CURRENT CONCEPT." Orthopedic Reviews 14, no. 6 (2022). http://dx.doi.org/10.52965/001c.38566.

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Periprosthetic fractures around total knee arthroplasty in elderly represent an emerging cause of implant revision and their incidence seems destined to further increase in the upcoming years, considering the ever-increasing number of implanted prostheses. These are complex injuries with very high complication rates. It has been estimated that the incidence of femoral periprosthetic fractures after T.K.A. ranged between 0,3 to 2,5%, but increases up to 38% when considering revision T.K.A. Patient-related risk factors for T.K.A. periprosthetic fracture (T.K.A.P.F.) include osteoporosis, age, fe

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Shekleton, F., W. Baker, E. Dominguez, and L. Harries. "924 Management of Vancouver B2 Periprosthetic Femoral Shaft Fractures." British Journal of Surgery 111, Supplement_6 (2024). http://dx.doi.org/10.1093/bjs/znae163.707.

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Abstract Aim An increase in hip arthroplasty surgery within our ageing population is leading to a rise in periprosthetic femoral shaft fractures. The Vancouver system is widely used to classify these fractures. Vancouver type B2 fractures are a subject of ongoing management debate, fixation versus revision arthroplasty. The aim of this study was to review the management and outcomes of all patients with a periprosthetic hip fracture over five years in a high-volume single centre with a particular focus on Vancouver B2 fractures. Method A retrospective analysis was conducted on patients admitte

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Dr.Moazam, Yasin Dr. Aitzaz Khaliq Aulakh Dr. Rohama Javeed. "FRACTURES AFTER TOTAL KNEE ARTHROPLASTY AT TERTIARY CARE HOSPITAL." May 15, 2020. https://doi.org/10.5281/zenodo.3828311.

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<strong><em>Purpose. </em></strong><em>The present study aims to assess outcome of periprosthetic fractures after TKA in 21 patients. <strong>Methods. </strong></em><em>The present study was conducted from May 2012 to September 2019 at Mayo Hospital Lahore. The records of 21 patients, with age range of 44 to 80 years, were retrieved from the hospital data. These patients  operative treatment for periprosthetic fractures of supracondylar femur, tibia and patella due to low velocity injuries or minor falls. </em><strong><em>Results. </em></strong><em>There were 11 males and 10 females inclu

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Rinehart, Dustin, Tyler Youngman, Junho Ahn, and Michael Huo. "Review of patient-reported outcomes in periprosthetic distal femur fractures after total knee arthroplasty: a plate or intramedullary nail?" Arthroplasty 3, no. 1 (2021). http://dx.doi.org/10.1186/s42836-021-00080-w.

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Abstract Purpose This study reviewed the literature regarding the patient-reported treatment outcomes of using either open reduction and internal fixation (ORIF) with a plate and screw system or intramedullary nail (IMN) fixation for periprosthetic distal femur fractures around a total knee arthroplasty. Methods A total of 13 studies published in the last 20 years met the inclusion criteria. The studies included 347 patients who were allocated to ORIF (n = 249) and IMN (n = 98) groups according to the implants used. The primary outcome measures were the Knee Society Score or the Western Ontari

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McSorley, Matthew, Monu Jabbal, and Phil Walmsley. "The use of a metaphyseal sleeve total knee replacement as primary treatment for Schaztker VI tibial plateau fracture." Journal of Surgical Case Reports 2022, no. 12 (2022). http://dx.doi.org/10.1093/jscr/rjac561.

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Abstract Traditional treatment of tibial plateau fractures is with open reduction and internal fixation, or external fixation in severely displaced and comminuted fractures. Total joint arthroplasty for unreconstructable hip fractures is a successful and widely accepted treatment; however, such surgery for tibial plateau fractures is not a common practice. We present two cases of highly comminuted schaztker VI tibial plateau fractures in patients over the age of 65. Both patients had a metaphyseal sleeve revision knee arthroplasty as delayed primary treatment. Both patients have had excellent

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Yulian, Kenny, Gusti Ngurah Putra Stanu, Made Agus Maharjana, and Kadek Gede Bakta Giri. "Revision Arthroplasty Versus Open Reduction Internal Fixation for Distal Femur Periprosthetic Fractures: A Systematic Review." International Journal of Medical Science and Clinical Research Studies 05, no. 01 (2025). https://doi.org/10.47191/ijmscrs/v5-i01-08.

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Introduction Distal femur periprosthetic fractures are a challenging complication following total knee arthroplasty (TKA). Primary surgical approaches are Revision Arthroplasty (RA) and Open Reduction Internal Fixation (ORIF). RA replaces unstable prosthetic components, while ORIF preserves the prosthesis. This review aims to evaluate the outcomes of RA and ORIF. Method This review followed PRISMA 2020 guidelines. Literature search was conducted across PubMed, Scopus, and Google Scholar. Data extraction and bias assessment were performed independently. Results Literature search resulted in 376

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Head, Justin M. "Periprosthetic Distal Femur Fractures: Review of Current Treatment Options." Reconstructive Review 7, no. 4 (2018). http://dx.doi.org/10.15438/rr.7.4.188.

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The geriatric population in general and specifically recipients of total knee arthroplasty (TKA) have increasing functional demands along with an increasing life expectancy. Certain intraoperative aspects of the index procedure, revision TKA, or the patient’s physiology (i.e.- osteoporosis, rheumatoid arthritis, neurologic disease) predispose the patient to post-operative periprosthetic distal femur fractures (PDFF). This review describes the epidemiology, classification, examination, and treatment options of PDFF. Osteoporosis and intraoperative anterior femoral cortex notching are primary pa

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Eckardt, H., D. Windischbauer, M. Morgenstern, K. Stoffel, and M. Clauss. "Analysis of complications in 97 periprosthetic Vancouver B2 fractures treated either by internal fixation or revision arthroplasty." Archives of Orthopaedic and Trauma Surgery, February 24, 2024. http://dx.doi.org/10.1007/s00402-024-05223-7.

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Abstract Introduction The treatment of Vancouver B2 periprosthetic fractures after hip arthroplasty is still a matter of debate. Revision Arthroplasty (RA) was long thought to be the treatment of choice, however several recent papers suggested that Open Reduction and Internal Fixation (ORIF) is a viable option for selected B2 fractures. Complication rates of 14–26% have been reported following surgical treatment of B2 fractures. No significant difference between RA and ORIF in the complication rates nor in the functional outcome was observed. Method We conducted a retrospective analysis of 97

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Wu, Jiangpeng, Zheng Li, Jiang Huang, Xufeng Jiao, and Guanglei Cao. "Staged open reduction and internal fixation with double-locking plates to treat bilateral distal femur periprosthetic fractures after total knee arthroplasty: A case report." Frontiers in Surgery 9 (January 6, 2023). http://dx.doi.org/10.3389/fsurg.2022.987953.

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BackgroundThe incidence of periprosthetic fractures after total knee arthroplasty (TKA) increases in parallel with the number of procedures. Comminuted fractures along the primary fracture line extending to the edge of the prosthesis are challenging, and bilateral fractures are rarely reported, especially with open injuries.Case presentationA 65-year-old female had undergone bilateral TKA in our hospital 5 years before admission. She was admitted with a traumatic bilateral Rorabeck type II B distal femur periprosthetic fracture (closed right, open left, Gustilo II) and was treated with bilater

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Nilssen, Paal, Karma McKelvey, and Carol Lin. "Revision Surgery Risk After Open Reduction and Internal Fixation Versus Acute Total Hip Arthroplasty in Geriatric Acetabular Fractures: A Nationwide Study." Journal of the American Academy of Orthopaedic Surgeons, March 6, 2024. http://dx.doi.org/10.5435/jaaos-d-23-00773.

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Background: The aging population has contributed to a rising incidence of acetabular fractures in older patients, yet current evidence guiding surgical treatment is limited by small sample sizes. This study used a nationwide database to investigate outcomes in older patients undergoing open reduction and internal fixation (ORIF) versus acute total hip arthroplasty (THA). Methods: The PearlDiver database was queried for patients aged 60 years and older with an acute acetabular fracture who underwent ORIF or acute THA (2010 to 2021). ORIF patients were matched 1:1 to THA patients based on age, s

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Hung, Ching-Chieh, Kuan-Hsiang Chen, Chih-Wei Chang, Yi-Chen Chen, and Ta-Wei Tai. "Salvage total hip arthroplasty after failed internal fixation for proximal femur and acetabular fractures." Journal of Orthopaedic Surgery and Research 18, no. 1 (2023). http://dx.doi.org/10.1186/s13018-023-03519-9.

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Abstract Background Total hip arthroplasty (THA) is the treatment of choice for posttraumatic arthritis with failed internal fixation for hip fractures. However, the postoperative prognosis is not clear. Questions/purposes The primary aim of the study is to report the postoperative outcome, prognosis, and complication rates of total hip arthroplasty in posttraumatic hip arthritis after failed internal fixation of fractures around the hip. The secondary aim of the study is to report results among different fracture types around the hip. Patients and methods We enrolled salvage THA patients afte

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Haider, Thomas, Philip Hanna, Amin Mohamadi, et al. "Revision Arthroplasty Versus Open Reduction and Internal Fixation of Vancouver Type-B2 and B3 Periprosthetic Femoral Fractures." JBJS Reviews 9, no. 8 (2021). http://dx.doi.org/10.2106/jbjs.rvw.21.00008.

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Thaler, Martin, Carmen Weiss, Ricarda Lechner, Jean-Alain Epinette, Theofilos S. Karachalios, and Luigi Zagra. "Treatment of periprosthetic femoral fractures following total hip arthroplasty: results of an online survey of the European Hip Society." HIP International, June 8, 2021, 112070002110171. http://dx.doi.org/10.1177/11207000211017115.

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Background: Periprosthetic femoral fractures (PPF) are a devastating complication after total hip arthroplasty (THA). Both trauma and adult reconstruction surgeons or combined teams treat these fractures following management algorithms. The aim of this study is to investigate the current treatment of PPF by members of the European Hip Society (EHS). Methods: An online survey of the members of the European Hip Society (EHS) was conducted. 20 cases of periprosthetic fracture were presented and surgeons were asked to answer questions regarding classification, treatment and postoperative treatment

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Fitch, Ashlyn A., E. Bailey Terhune, Matthew R. Cohn, Joshua Wright-Chisem, Brian M. Weatherford, and Joel C. Williams. "Periprosthetic Tibial Plateau Fractures After Unicompartmental Knee Arthroplasty Are Successfully Treated With Open Reduction and Internal Fixation." Orthopedics, April 29, 2022, 1–6. http://dx.doi.org/10.3928/01477447-20220425-04.

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Kalifis, Georgios, Theodorakys Marin Fermin, Angelo V. Vasiliadis, Georgios Tsinaslanidis, Christopher Gee, and Michael Hantes. "Periprosthetic fractures of the tibia in knee arthroplasty have a high risk of treatment failure: A systematic review." Knee Surgery, Sports Traumatology, Arthroscopy, May 7, 2025. https://doi.org/10.1002/ksa.12692.

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ABSTRACTPurposeTibial periprosthetic fractures (PPF) are rare but potentially devastating complications following knee arthroplasty. Despite the increasing number of knee replacements worldwide, there is limited data in the literature regarding these injuries. This systematic review aimed to add up‐to‐date, evidence‐based data on tibial PPF that may lead to a more standardised approach and improved outcomes.MethodsA systematic search of PubMed, Virtual Health Library and Cochrane Library databases was performed in accordance with PRISMA guidelines, including studies published from January 2015

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Lewis, Daniel P., Seth M. Tarrant, Lachlan Cornford, and Zsolt J. Balogh. "The management of Vancouver B2 periprosthetic femoral fractures, revision Total Hip Arthroplasty vs Open Reduction and Internal Fixation." Journal of Orthopaedic Trauma Publish Ahead of Print (April 30, 2021). http://dx.doi.org/10.1097/bot.0000000000002148.

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Jin, Qing-lin, Hao-bin Su, Shao-hua Du, et al. "Revision surgery for periprosthetic fracture of distal femur after endoprosthetic replacement of knee joint following resection of osteosarcoma." Frontiers in Oncology 14 (February 12, 2024). http://dx.doi.org/10.3389/fonc.2024.1328703.

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PurposePeriprosthetic fracture (PPF) is one of the severe complications in patients with osteosarcoma and carries the risk of limb loss. This study describes the characteristics, treatment strategies, and outcomes of this complication.MethodsPatients were consecutively included who were treated at our institution between 2016 and 2020 with a PPF of distal femur. The treatment strategies included two types: 1) open reduction and internal fixation with plates and screws and 2) replacement with long-stem endoprosthesis and reinforcement with wire rope if necessary.ResultsA total of 11 patients (m

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Scalici, Gianluca, Debora Boncinelli, Luigi Zanna, et al. "Periprosthetic femoral fractures in Total Hip Arthroplasty (THA): a comparison between osteosynthesis and revision in a retrospective cohort study." BMC Musculoskeletal Disorders 23, no. 1 (2022). http://dx.doi.org/10.1186/s12891-022-05159-2.

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Abstract Background Periprosthetic femoral fractures are challenging complications of hip arthroplasty. They are supposed to be a rare complication, but their incidence is rapidly increasing. Surgical treatment aims to achieve early mobilization and avoid the complications of prolonged bed rest. Aim of this study is to evaluate the clinical outcomes of surgical treatment comparing two surgical approaches: revision arthroplasty (RA) versus open reduction and internal fixation (ORIF). Methods Authors retrospectively reviewed a series of 117 patients with total hip arthroplasty treated for peripr

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Shah, Jay K., Laith Z. Abwini, Alex Tang, et al. "Comparative outcomes after treatment of peri-implant, periprosthetic, and interprosthetic femur fractures: which factors increase mortality risk?" OTA International 7, no. 1 (2024). http://dx.doi.org/10.1097/oi9.0000000000000322.

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Abstract Objectives: To compare mortality rates between patients treated surgically for periprosthetic fractures (PPF) after total hip arthroplasty (THA), total knee arthroplasty (TKA), peri-implant (PI), and interprosthetic (IP) fractures while identifying risk factors associated with mortality following PPF. Design: Retrospective. Setting: Single, Level II Trauma Center. Patients/Participants: A retrospective review was conducted of 129 consecutive patients treated surgically for fractures around a pre-existing prosthesis or implant from 2013 to 2020. Patients were separated into 4 compariso

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Schmidutz, Florian, Anna Janine Schreiner, Marc-Daniel Ahrend, et al. "Risk of Periprosthetic Joint Infection after Posttraumatic Hip Arthroplasty following Acetabular Fractures." Zeitschrift für Orthopädie und Unfallchirurgie, May 23, 2022. http://dx.doi.org/10.1055/a-1810-7379.

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Abstract Background Raised complication rates have been reported for total hip arthroplasty (THA) in posttraumatic hip joints after acetabular fractures with prior open reduction and internal fixation (ORIF). The present study evaluated (I) postoperative surgical site infection and the risk of early infection following THA in posttraumatic hip joints after acetabular fractures and (II) the discriminatory ability of preoperative C-reactive protein (CRP) blood levels for periprosthetic joint infection (PJI). Materials and Methods Patients were included who had undergone THA (2014–2019) after pri

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Scott, Bryan L., Amy Z. Blackburn, Anoop K. Prasad, et al. "Cost Effectiveness of Fixation Versus Total Hip Arthroplasty in Vancouver B2 Periprosthetic Femur Fractures: A Predictive Markov Analysis." Journal of the American Academy of Orthopaedic Surgeons, January 14, 2025. https://doi.org/10.5435/jaaos-d-24-00819.

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Background: Although Vancouver B2 periprosthetic fractures (PPFs) have been historically managed with revision total hip arthroplasty (rTHA), open reduction and internal fixation (ORIF) has been proposed as an alternative option for reasons including lower cost and surgical time. The purpose of this study was to, therefore, create a Markov model to assess the cost effectiveness of ORIF versus rTHA for Vancouver B2 periprosthetic femur fractures and evaluate various inflection points for varying costs and outcome measures. Methods: A Markov model was built using discrete and mutually exclusive

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Krappinger, Dietmar, Herbert Resch, Richard A. Lindtner, Johannes Becker, Marian Mitterer, and Thomas Freude. "The acetabular roof reinforcement plate for the treatment of displaced acetabular fractures in the elderly: results in 59 patients." Archives of Orthopaedic and Trauma Surgery, April 11, 2021. http://dx.doi.org/10.1007/s00402-021-03829-9.

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Abstract Introduction Open reduction and internal fixation is considered the gold standard of treatment for displaced acetabular fractures in younger patients. For elderly patients with osteoporotic bone quality, however, primary total hip arthroplasty (THA) with the advantage of immediate postoperative mobilization might be an option. The purpose of this study was to evaluate the clinical and radiological outcomes of surgical treatment of displaced osteoporotic acetabular fractures using the acetabular roof reinforcement plate (ARRP) combined with THA. Materials and methods Between 2009 and 2

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