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Z Orthop Unfall 2023; 161(06): 619-627
DOI: 10.1055/a-1807-7668
Übersicht

Primary Total Knee Arthroplasty for Fractures Around the Knee

Article in several languages: deutsch | English
Stefan Förch
1   Abteilung für Unfallchirurgie, Orthopädie, plastische und Handchirurgie, Universitätsklinikum Augsburg, Augsburg, Deutschland (Ringgold ID: RIN39694)
,
Leonard Lisitano
2   Abteilung für Unfallchirurgie, Orthopädie, plastische und Handchirurgie, Universitätsklinikum Augsburg, Augsburg, Deutschland (Ringgold ID: RIN39694)
,
Edgar Mayr
3   Unfallchirurgie, Orthopädie, Hand- und Plastische Chirurgie, Universität Augsburg Medizinische Fakultät, Augsburg, Deutschland (Ringgold ID: RIN531257)
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Abstract

Primary arthroplasty for fractures of the femoral neck is a very common procedure and even the gold standard for the geriatric patient. In contrast, primary arthroplasty for perigenicular fractures is a rare event. On the other hand, it can be a therapeutic option, especially for geriatric patients with prior osteoarthritis or complex fractures and severe osteoporosis.

The operative procedure can be complex and requires experience in primary and revision arthroplasty as well as suitable implants and good preoperative planning.

There are case series reporting primary arthroplasty in a total of approximately 200 cases of both distal femoral and proximal tibial fractures. Complication rates are between 0 and 90% and mostly concern wound healing problems and infections. From a functional point of view, predominantly good results and a range of motion of 100° can be achieved.

Primary arthroplasty can be a therapeutic option for selected cases of perigenicular fractures and gives good functional results. The most frequent complications are wound healing problems and infections.

Keywords

primary total knee arthroplasty - knee - distal femoral fracture - proximal tibial fracture


Publication History

Received: 27 September 2021

Accepted after revision: 23 March 2022

Article published online:
02 June 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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