کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4061132 1604010 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Primary Versus Secondary Distal Femoral Arthroplasty for Treatment of Total Knee Arthroplasty Periprosthetic Femur Fractures
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Primary Versus Secondary Distal Femoral Arthroplasty for Treatment of Total Knee Arthroplasty Periprosthetic Femur Fractures
چکیده انگلیسی

Current methods of fixing periprosthetic fractures after total knee arthroplasty (TKA) are variable, and include open reduction and internal fixation (ORIF) via plating, retrograde nailing, or revision using standard revision TKA components or a distal femoral arthroplasty (DFA). The purpose of this study is to compare patients who failed plating techniques requiring subsequent revision to DFA to patients who underwent primary DFA. Of the 13 patients (9.2%) who failed primary ORIF, causes included nonunion (53.8%), infection (30.8%), loosening (7.7%), and refracture (7.7%). There were significantly more surgical procedures for ORIF revision to DFA compared to primary DFA. Complications for patients who underwent primary reconstruction with DFAs included extensor mechanism disruption (8.3%), infection (5.6%), and dislocation (2.8%). Primary reconstruction via ORIF is beneficial for preserving bone stock, but primary DFA may be preferred in osteopenic patients, or those at high risk for nonunion.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Arthroplasty - Volume 28, Issue 9, October 2013, Pages 1580–1584
نویسندگان
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