Skip to main content

Advertisement

SpringerLink
Log in

The number of locking screws predicts the risk of nonunion and reintervention in periprosthetic total knee arthroplasty fractures treated with a nail

  • Original Article
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Periprosthetic knee fractures following total knee arthroplasty are increasing proportionally to the number of primary procedures done. We performed a retrospective review of Rorabeck type II fractures treated with a retrograde nail, trying to find the relationship between failure and the number of distal locking screws used. Twenty-six patients were included. The number of distal interlocking screws (patients with one or two distal interlocking screws and patients with three screws) correlated with nonunion (p < 0.1), did not correlate with the malunion rate (p > 0.1) and correlated with the reintervention rate (p < 0.1).

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Berry DJ (1999) Epidemiology: hip and knee. Orthop Clin North Am 30(2):183–190

    Article  CAS  PubMed  Google Scholar 

  2. Healy WL, Siliski JM, Incavo SJ (1993) Operative treatment of distal femoral fractures proximal to total knee replacements. J Bone Joint Surg Am 75(1):27–34

    CAS  PubMed  Google Scholar 

  3. Schroder HM, Berthelsen A, Hassani G, Hansen EB, Solgaard S (2001) Cementless porous-coated total knee arthroplasty: 10-year results in a consecutive series. J Arthroplasty 16(5):559–567. doi:10.1054/arth.2001.23565

    Article  CAS  PubMed  Google Scholar 

  4. Rorabeck CH, Taylor JW (1999) Periprosthetic fractures of the femur complicating total knee arthroplasty. Orthop Clin North Am 30(2):265–277

    Article  CAS  PubMed  Google Scholar 

  5. Herrera DA, Kregor PJ, Cole PA, Levy BA, Jonsson A, Zlowodzki M (2008) Treatment of acute distal femur fractures above a total knee arthroplasty: systematic review of 415 cases (1981–2006). Acta Orthop 79(1):22–27. doi:10.1080/17453670710014716

    Article  PubMed  Google Scholar 

  6. Bong MR, Egol KA, Koval KJ, Kummer FJ, Su ET, Iesaka K, Bayer J, Di Cesare PE (2002) Comparison of the LISS and a retrograde-inserted supracondylar intramedullary nail for fixation of a periprosthetic distal femur fracture proximal to a total knee arthroplasty. J Arthroplasty 17(7):876–881

    Article  PubMed  Google Scholar 

  7. Han HS, Oh KW, Kang SB (2009) Retrograde intramedullary nailing for periprosthetic supracondylar fractures of the femur after total knee arthroplasty. Clin Orthop Surg 1(4):201–206. doi:10.4055/cios.2009.1.4.201

    Article  PubMed Central  PubMed  Google Scholar 

  8. Pelfort X, Torres-Claramunt R, Hinarejos P, Leal J, Gil-Gonzalez S, Puig L (2013) Extension malunion of the femoral component after retrograde nailing: no sequelae at 6 years. J Orthop Trauma 27(3):158–161. doi:10.1097/BOT.0b013e3182629641

    Article  PubMed  Google Scholar 

  9. Bezwada HP, Neubauer P, Baker J, Israelite CL, Johanson NA (2004) Periprosthetic supracondylar femur fractures following total knee arthroplasty. J Arthroplasty 19(4):453–458

    Article  PubMed  Google Scholar 

  10. Horneff JG 3rd, Scolaro JA, Jafari SM, Mirza A, Parvizi J, Mehta S (2013) Intramedullary nailing versus locked plate for treating supracondylar periprosthetic femur fractures. Orthopedics 36(5):e561–e566. doi:10.3928/01477447-20130426-16

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

All authors do not have conflicts of interest.

Author information

Authors and Affiliations

  1. Hospital 12 de Octubre, Avda. Córdoba s/n, Madrid, Spain

    Ainhoa Toro-Ibarguen, José-Antonio Moreno-Beamud, Miguel-Ángel Porras-Moreno, Miguel Aroca-Peinado & José-Luis León-Baltasar

  2. Orthopaedics Department, Complexo Hospitalario Universitario de Santiago (CHUS), C/Choupana s/n, Santiago de Compostela, Spain

    Alberto-Agustín Jorge-Mora

Authors
  1. Ainhoa Toro-Ibarguen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. José-Antonio Moreno-Beamud
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Miguel-Ángel Porras-Moreno
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Miguel Aroca-Peinado
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. José-Luis León-Baltasar
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Alberto-Agustín Jorge-Mora
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alberto-Agustín Jorge-Mora.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Toro-Ibarguen, A., Moreno-Beamud, JA., Porras-Moreno, MÁ. et al. The number of locking screws predicts the risk of nonunion and reintervention in periprosthetic total knee arthroplasty fractures treated with a nail. Eur J Orthop Surg Traumatol 25, 661–664 (2015). https://doi.org/10.1007/s00590-014-1541-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-014-1541-x

Keywords

Search

Navigation