Skip to main content

Distal Femur Periprosthetic Fracture Failed Fixation

  • Chapter
  • First Online:
Failed Fracture Fixation

Abstract

Due to the rising number of total knee replacements and an aging society, periprosthetic fractures of the distal femur have become a more frequent injury. Surgical fixation of those fractures is one of the most demanding procedures an orthopaedic surgeon can face. A successful treatment requires careful preoperative preparation with experience in fracture fixation and total knee arthroplasty (TKA). Herein, we present cases of failed fixation of distal femur periprosthetic fractures, analyse the aetiology of failure and discuss treatment options for revision surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Ebraheim NA, Kelley LH, Liu X, Thomas IS, Steiner RB, Liu J. Periprosthetic distal femur fracture after total knee arthroplasty: a systematic review. Orthop Surg. 2015;7(4):297–305.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Johnston AT, Tsiridis E, Eyres KS, Toms AD. Periprosthetic fractures in the distal femur following total knee replacement: a review and guide to management. Knee. 2012;19(3):156–62.

    Article  PubMed  Google Scholar 

  3. Erhardt JB, Grob K, Roderer G, Hoffmann A, Forster TN, Kuster MS. Treatment of periprosthetic femur fractures with the non-contact bridging plate: a new angular stable implant. Arch Orthop Trauma Surg. 2008;128(4):409–16.

    Article  CAS  PubMed  Google Scholar 

  4. Ricci WM, Loftus T, Cox C, Borrelli J. Locked plates combined with minimally invasive insertion technique for the treatment of periprosthetic supracondylar femur fractures above a total knee arthroplasty. J Orthop Trauma. 2006;20(3):190–6.

    Article  PubMed  Google Scholar 

  5. Kohlhof H, Randau T, Kehrer M, Wirtz DC. Reconstruction of tibial metaphyseal defects with artificial components in revision arthroplasty (GenuX MK System). Oper Orthop Traumatol. 2020;32(4):284–97.

    Article  CAS  PubMed  Google Scholar 

  6. Hernández JT, Holck K. Periprosthetic femoral fractures: when I use strut grafts and why? Injury. 2015;46(Suppl. 5):S43–6.

    Article  Google Scholar 

  7. Gathen M, Wimmer MD, Ploeger MM, Weinhold L, Schmid M, Wirtz DC, et al. Comparison of two-stage revision arthroplasty and intramedullary arthrodesis in patients with failed infected knee arthroplasty. Arch Orthop Trauma Surg. 2018;138(10):1443–52.

    Article  PubMed  Google Scholar 

  8. Buttaro MA, Farfalli G, Núñez MP, Comba F, Piccaluga F. Locking compression plate fixation of vancouver type-B1 periprosthetic femoral fractures. J Bone Joint Surg. 2007;89(9):1964–9.

    Article  CAS  PubMed  Google Scholar 

  9. Savov P, Windhagen H, Haasper C, Ettinger M. Digital templating of rotating hinge revision and primary total knee arthroplasty. Orthop Rev (Pavia). 2018;10(4):7811.

    Article  PubMed  Google Scholar 

  10. Streubel P. Mortality after periprosthetic femur fractures. J Knee Surg. 2013;26(01):27–30.

    Article  PubMed  Google Scholar 

  11. Wimmer MD, Hischebeth GTR, Randau TM, Gathen M, Schildberg FA, Fröschen FS, et al. Difficult-to-treat pathogens significantly reduce infection resolution in periprosthetic joint infections. Diagn Microbiol Infect Dis. 2020;98(2):115114.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christof Burger .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2024 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gathen, M., Kabir, K., Burger, C. (2024). Distal Femur Periprosthetic Fracture Failed Fixation. In: Giannoudis, P.V., Tornetta III, P. (eds) Failed Fracture Fixation. Springer, Cham. https://doi.org/10.1007/978-3-031-39692-2_25

Download citation

  • DOI: https://doi.org/10.1007/978-3-031-39692-2_25

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-39691-5

  • Online ISBN: 978-3-031-39692-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics