Minimally Invasive Plate Osteosynthesis for Periprosthetic Distal Femoral Fractures after Total Knee Arthroplasty

Title
Minimally Invasive Plate Osteosynthesis for Periprosthetic Distal Femoral Fractures after Total Knee Arthroplasty
Author(s)
손욱진하철웅박강현임승완
Keywords
Knee; Arthroplasty; Periprosthetic femoral fracture; Minimally invasive surgery
Issue Date
201403
Publisher
대한슬관절학회
Citation
Knee Surgery and Related Research, v.26, no.1, pp.27 - 32
Abstract
Purpose: To evaluate the outcomes of the treatment of distal femoral fractures using minimally invasive plate osteosynthesis following total knee arthroplasty (TKA).Materials and Methods: From July 2008 to October 2011, 14 patients were treated with minimally invasive plate osteosynthesis for periprosthetic fractures following TKA. The mean duration of follow-up was 19.2 months and the mean age was 69.7 years. Lewis and Rorabeck classification was used to categorize the type of fracture. Pre- and postoperative range of motion, femorotibial angle, and Knee society score, time to bony union, and complications were evaluated.Results: The mean range of motion was 108.4 degrees preoperatively and 107.3 degrees postoperatively. No significant difference was observed in the pre- and postoperative mean range of motion. The average time to bony union was 3.9 months. The knee society score was 82.6 points preoperatively and 78.9 points postoperatively. The mean femorotibial angle was changed from 6.1 degrees valgus postoperatively to 4.6 degrees valgus postoperatively. There was no complication during the follow-up. Conclusions: Minimally invasive plate fixation for distal femur fractures after TKA showed good results. Minimally invasive plate osteosynthesis is a recommendable treatment method for periprosthetic fractures.
URI
http://hdl.handle.net/YU.REPOSITORY/32674
ISSN
1225-1623
Appears in Collections:
의과대학 > 정형외과학교실 > Articles
의과대학 > 영상의학과학교실 > Articles
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