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Management of Periprosthetic Femur Fracture

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Complex Cases in Total Knee Arthroplasty

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Abstract

Periprosthetic femur fractures are the most common fracture that leads to total knee arthroplasties. The undisplaced fracture can be treated nonoperatively. If the fracture is displaced, the femoral component must be evaluated for stability. If the component has enough underlying bone attached to it, fixation with component preservation may be possible. If the femoral component is completely loose from any underlying bone, replacement is the only alternative. Internal fixation preserves the original implant but exposes the patient to a longer period of recovery and possible nonunion. Total replacement is much more invasive but may be more predictable.

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Author information

Authors and Affiliations

  1. Orthopedic Center of New Jersey, Somerset, NJ, USA

    Alfred J. Tria MD

  2. Colorado Joint Replacement, Porter Adventist Hospital, Denver, CO, USA

    Jason M. Jennings MD & Raymond H. Kim MD

  3. Department of Mechanical and Materials Engineering, University of Denver, Denver, CO, USA

    Raymond H. Kim MD

  4. Department of Orthopedic Surgery, Joan C. Edwards School of Medicine at Marshall University, Huntington, WV, USA

    Raymond H. Kim MD

  5. Adult Reconstruction, OrthoCarolina Hip and Knee Center, Charlotte, NC, USA

    Aldo M. Riesgo MD & William L. Griffin MD

Authors
  1. Alfred J. Tria MD
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  2. Jason M. Jennings MD
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  3. Raymond H. Kim MD
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  4. Aldo M. Riesgo MD
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  5. William L. Griffin MD
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Corresponding authors

Correspondence to Alfred J. Tria MD or William L. Griffin MD .

Editor information

Editors and Affiliations

  1. Orthopedic Center of New Jersey, Somerset, New Jersey, USA

    Alfred J. Tria

  2. Northwell Health Orthopedic Institute, New York, New York, USA

    Giles R. Scuderi

  3. Orthopedic Center of New Jersey, Somerset, New Jersey, USA

    Fred D. Cushner

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Tria, A.J., Jennings, J.M., Kim, R.H., Riesgo, A.M., Griffin, W.L. (2018). Management of Periprosthetic Femur Fracture. In: Tria, A., Scuderi, G., Cushner, F. (eds) Complex Cases in Total Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-69380-4_17

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  • DOI: https://doi.org/10.1007/978-3-319-69380-4_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-69379-8

  • Online ISBN: 978-3-319-69380-4

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