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Fractures Around the Knee pp 151–161Cite as

Management of the Complications Following Fractures Around the Knee (Post-traumatic Bi- or Tricompartmental Arthritis)

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Part of the book series: Fracture Management Joint by Joint ((FMJJ))

Abstract

The relationship between periarticular fractures and development of knee arthritis is well known. However, considering the lack of the literature, it is difficult to precisely estimate the incidence of post-traumatic arthritis of the knee, ranging from 20 % at 5 years to 50 % at 15 years after the fracture. A treatment option for most of the patients could be total knee arthroplasty (TKA). In these patients, the strategy should be accurately planned preoperatively, because of different problems: presence of hardware, multiple surgical scars, bony defects, malalignment, stiffness, instability, malunions, previous infections, and ligamentous deficiency. TKA after proximal tibial or distal femoral fractures can be challenging, most of all for bone loss and instability. The results of post-traumatic TKA are good, but more similar to revision TKA than to standard primary TKA. Post-traumatic TKA patients have a higher risk of complications compared to the general population undergoing TKA for primary osteoarthritis. It is still unclear whether post-traumatic TKAs have a higher risk of infection compared to standard TKAs, but a higher risk of infection in TKAs after infected periarticular fractures has been reported.

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Authors and Affiliations

  1. AO Mauriziano Umberto I, SCDU Ortopedia e Traumatologia, Largo Turati 62, Torino, 10128, Italy

    Federica Rosso, Matteo Bruzzone, Federico Dettoni & Roberto Rossi

  2. Dipartimento di Scienze Chirurgiche, Università degli Studi di Torino, Via Po 8, Torino, 10100, Italy

    Umberto Cottino & Roberto Rossi

Authors
  1. Federica Rosso
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  2. Umberto Cottino
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  3. Matteo Bruzzone
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  4. Federico Dettoni
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  5. Roberto Rossi
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Correspondence to Federica Rosso .

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Editors and Affiliations

  1. CTO Hospital, University of Torino, Torino, Italy

    Filippo Castoldi

  2. University of Torino, AO Ordine Mauriziano, Torino, Italy

    Davide Edoardo Bonasia

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Rosso, F., Cottino, U., Bruzzone, M., Dettoni, F., Rossi, R. (2016). Management of the Complications Following Fractures Around the Knee (Post-traumatic Bi- or Tricompartmental Arthritis). In: Castoldi, F., Bonasia, D. (eds) Fractures Around the Knee. Fracture Management Joint by Joint. Springer, Cham. https://doi.org/10.1007/978-3-319-28806-2_12

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  • DOI: https://doi.org/10.1007/978-3-319-28806-2_12

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