Revision Total Knee Arthroplasty for Failure of Primary Treatment of Periprosthetic Knee Fractures

被引:14
作者
Abbas, Ammar M. I. [1 ]
Morgan-Jones, Rhidian L. [1 ]
机构
[1] Univ Hosp Llandough, Cardiff & Vale Univ Hlth Board, Cardiff, S Glam, Wales
关键词
periprosthetic; fracture; revision; knee; arthroplasty; DISTAL FEMORAL ARTHROPLASTY; FEMUR FRACTURES; REPLACEMENT; CLASSIFICATION;
D O I
10.1016/j.arth.2014.05.028
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Periprosthetic knee fractures and their complications are expected to increase as the numbers of knee arthroplasties continue to rise. We report our experience with revision knee arthroplasty for failure of primary fracture treatment. Five periprosthetic knee non-unions and 1 mal-union in 6 patients, with ages ranging from 65 to 83 years (average 74.6 years) were treated with revision total knee arthroplasty, and were followed up for 3 to 10 years (average 4.5 years). Union occurred in 8 to 18 weeks (average 12.5 weeks). All patients were ambulatory at the latest follow-up, with a range of motion averaging 84.2 degrees (P = 0.03), and an Oxford Knee Score averaging 35 (P = 0.03). We conclude that union complications of periprosthetic knee fractures can be satisfactorily addressed with revision arthroplasty. (c) 2014 Elsevier Inc. All rights reserved.
引用
收藏
页码:1996 / 2001
页数:6
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